NPI | 1508029778 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN MOSS MARSHALL Nurse Practitioner 601-969-1910 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 09754) |
Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: MS 09754) |
207YS0123X Otolaryngology Facial Plastic Surgery (Licence: MS 09754) | |
Enumeration Date | 2008-07-08 |
Last Update Date | 2010-07-09 |