| NPI | 1447449806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIODUN FATIMA BALOGUN President/Owner 601-444-9266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 19061) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |