| NPI | 1801142179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WESLEY BARRETT Cfnp 662-327-2921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS R827931) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-09-06 |