| NPI | 1346287281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA MAY Office Manager 601-376-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-08-15 |