NPI | 1831136217 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C MOLLESTON Neurosurgeron 601-606-0979 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: MS 14374) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: MS 14374MS) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2016-08-15 |