| NPI | 1740616705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J KOCHEVAR Owner 601-918-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |