| NPI | 1780804351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD TUCK KATZ Dr. 601-948-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MS 10893) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |