| NPI | 1881845444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BATES CEO 601-276-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2017-02-16 |