| NPI | 1821342379 |
|---|---|
| Doing Business As | LAUREL PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES T CANIZARO Vice President/ C.F.O. 601-399-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |