| NPI | 1871674754 |
|---|---|
| Doing Business As | SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRYAN N BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine Sports Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-02-23 |