| NPI | 1821336371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK R JEFFREYS Owner 601-366-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 14957) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |