| NPI | 1528475357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE LYNETTE BAILEY Owner 601-918-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R826903) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |