| NPI | 1760798227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDERSON CEO 601-703-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208800000X Urology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2015-06-16 |