| NPI | 1659575728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA F SMITH Administrative Director 228-328-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 14698) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-03-01 |