| NPI | 1417067885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL MOLDEN Office Manager 228-762-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: MS 09345) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: MS 09345) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-05-20 |