| NPI | 1821848045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DENISE DEARMAN Family Nurse Practitioner 601-466-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |