| NPI | 1841645470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIN COLLIER HURT Medical Doctor 601-910-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 21939) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |