| NPI | 1710502661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSSEIN NASAJPOUR Owner 601-580-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |