| NPI | 1306891205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M. GARNER Director 662-327-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-01-08 |