| NPI | 1851429971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F KROOSS Managing Member 601-932-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R652075) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-04-16 |