| NPI | 1497931877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JULIA ANDERSON Office Manager 601-948-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist (Licence: MS Unlicensed state) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |