| NPI | 1881959401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD NELSON VP Physician Services 662-293-7618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-01-25 |