| NPI | 1699857433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENNEDY Associate Administor 601-986-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-04-20 |