| NPI | 1306395629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH POWELL Physician Assistant 228-383-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: LA 303898) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |