| NPI | 1679061469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD C ADAMS Owner 601-506-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: MS 13236) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |