| NPI | 1609960749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J JOEL DRUMMOND Co Owner 601-420-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 3119.00) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 2820.94) |
| 174400000X Specialist (Licence: MS 05.339.00) | |
| 174400000X Specialist (Licence: MS 05.340.00) | |
| 174400000X Specialist (Licence: MS 16843) | |
| 174400000X Specialist (Licence: MS 16896) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |