| NPI | 1326462581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M FELDER Medical Director 601-266-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 13567) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: OT0049) |
| 235Z00000X Speech-Language Pathologist | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: MS R858140) | |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |