| NPI | 1508547472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET FAYE PAETZ Nurse Practitioner 228-273-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-08-25 |