| NPI | 1427289743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE HARRELL Owner 601-672-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F0803026) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-12-07 |