| NPI | 1508942244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWAYNE L SILMON Office Manager 601-407-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R688916) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-06-22 |