| NPI | 1447504501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LAI Manager 601-336-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 20803) |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2012-10-28 |