| NPI | 1649479429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L MAULDIN General Partner 601-649-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 12524) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |