| NPI | 1346677812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LORRAINE NOONAN Physician Business Services Dir. 228-575-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RN0300X Internal Medicine, Nephrology | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2024-01-09 |