NPI | 1316967219 |
---|---|
Entity Type | Organization |
Authorized Contact | FISHER ALAN COVIN CEO 601-296-3070 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 15293) |
363L00000X Nurse Practitioner | |
207W00000X Ophthalmology | |
2084N0400X Psychiatry & Neurology, Neurology | |
207Q00000X Family Medicine | |
363LA2100X Nurse Practitioner, Acute Care | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
2084S0012X Psychiatry & Neurology, Sleep Medicine | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2010-11-04 |