| NPI | 1306932314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A JOHNSON Owner 601-859-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: MS 062091111) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |