| NPI | 1740357334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BORNE Owner/President 601-981-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-03-30 |