| NPI | 1700348133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ANN MORGAN President Of Clinical Operations 601-551-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-29 |