| NPI | 1518275544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN DILLARD President/CEO 601-288-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 13883) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 11133) |
| 207R00000X Internal Medicine (Licence: MS 10220) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2012-05-08 |