| NPI | 1538411129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE REID Provider 601-292-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MS R852760) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-09-19 |