| NPI | 1891975603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA E LAWSON Owner 601-713-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 14149) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |