| NPI | 1578709713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L HAMMOND Office Manager 601-607-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 16327) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MS 16327) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MS 16327) | |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-18 |