| NPI | 1386916146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA AYCOCK DUNN Practitioner/Owner/President 601-824-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R624055) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |