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 |