| NPI | 1316383433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS O KUMI Office Manager 601-304-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 15330) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |