| NPI | 1396807814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. JACKSON CEO 662-615-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 11-269) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-11-19 |