| NPI | 1508847690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BURNETT Chief Executive Officer 601-939-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2010-10-28 |