| NPI | 1588152920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM OWEN MCCRANEY Managing Owner 601-987-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-10-26 |