| NPI | 1689749996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE EDSEL STEWART President 601-684-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MS 11503) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |