| NPI | 1467481317 |
|---|---|
| Doing Business As | NW MISSISSIPPI KIDNEY CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA THOMAS HEARN Manager 662-335-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 22784) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RN0300X Internal Medicine Nephrology (Licence: MS 11536) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MS 22233) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2014-01-29 |