| NPI | 1346267325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY M. SANFORD Clinic Administrator 601-268-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-05-20 |