| NPI | 1588109821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WRIGHT B. LAUTEN Sole Member 601-255-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 21600) |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2022-03-24 |