| NPI | 1790116838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI THERESA SUMRALL School Nurse 601-947-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS R872149) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |