| NPI | 1487800520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL MANNING President 601-927-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2025-09-26 |