| NPI | 1699082875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L YEARWOOD President/Owner 228-938-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2011-03-11 |