| NPI | 1558679902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CARLISLE Hospital Director 601-581-7877 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: MS 36-136) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2020-05-12 |