| NPI | 1821273491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON MILONE Billing 601-366-9261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |