| NPI | 1649362518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KING Physician 662-893-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 12763) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TN 10676) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-01-04 |