| NPI | 1548275233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD J WEBB Owner 228-324-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 983956) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |