| NPI | 1306077672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B LEE Owner 601-936-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 10711) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |