| NPI | 1639693476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY BECKHAM General Surgeon 662-328-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-05-27 |