| NPI | 1336238443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEPTHA NEWTON COLE President 601-933-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MS 15530) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |