| NPI | 1770672768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-02-22 |