| NPI | 1598911877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD WILKERSON President 601-824-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 05507) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |