| 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 | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine (Licence: MS 15293) | |
| 207W00000X Ophthalmology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-11-04 |