| NPI | 1306165717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MOCK Vice President 601-443-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207X00000X Orthopaedic Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2012-01-03 |