| NPI | 1558693192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L JARRELL Business Office Manager 228-392-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 19018) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |