| NPI | 1588625594 |
|---|---|
| Doing Business As | PROFESSIONAL SERVICES DIVISION |
| Entity Type | Organization |
| Authorized Contact | DON LARKIN KENNEDY Regional CEO 601-703-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-12-28 |