| NPI | 1760896252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA KAYE WILLIAMS Registered Nurse 601-566-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R883265) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |