NPI | 1588078737 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA HOSSLEY President 601-636-0097 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R880464) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2014-06-16 |