| NPI | 1497913099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MARIE SWORDS Insurance 662-507-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R732974) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |