| NPI | 1801679717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLOYEDE OLALOWO Physician 601-572-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |