| NPI | 1679724785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R LEWIS President 228-865-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 13326) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2010-10-21 |