NPI | 1851101612 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDELL R HELVESTON Owner 601-345-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-05-06 |