| NPI | 1831342054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE STUART Credentialing Representative 2 601-200-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2021-06-16 |