| NPI | 1619010691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR DEWAYNE BLACK Owner Orthopedic Surgeon 228-762-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 15591) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-03-09 |