NPI | 1396895413 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE TALBOT Director 601-296-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MS 139170) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MS 15450) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2021-07-28 |