| NPI | 1366014128 |
|---|---|
| Doing Business As | SOUTH MISSISSIPPI WOUND MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J MARTIN Manager 601-757-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-14 |