| 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 |