| NPI | 1861246910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT BRASHIER Owner 601-480-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |