NPI | 1326149956 |
---|---|
Entity Type | Organization |
Authorized Contact | WINSTON CRAIG CLARK Owner 662-349-5660 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TN MD14839) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2009-02-18 |