| NPI | 1548575087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H. JACKSON CEO 662-615-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MS 11-269) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2022-10-03 |