| NPI | 1710238324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE NORRELL President 601-437-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MS 26-276) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 26-276) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 26-276) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2014-01-30 |