| NPI | 1619201423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H COLLINS Cst Cfa/Member In Charge 601-214-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |