| NPI | 1669805297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY N COCHRAN Owner 601-651-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R865733) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2023-08-07 |