| NPI | 1801447263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BECKSTEAD Authorized Official 601-209-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-10-28 |