| NPI | 1366634669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE D. DOTHEROW Authorized Official 601-355-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: MS 25C0001065) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-12-06 |