NPI | 1346424298 |
---|---|
Doing Business As | THE RUNNELS CLINIC |
Entity Type | Organization |
Authorized Contact | RUDOLPH SCOTT RUNNELS, JR. Owner 601-939-9778 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MS 13960) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2008-07-07 |