| NPI | 1639187511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S WESSELMAN Chief Executive Officer 601-443-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS 11220) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 11220) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |