| NPI | 1760774095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PAINTER Sole Proprietor 601-543-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 20678) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |