| NPI | 1881769032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWIN GUICE President 601-268-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-02-04 |