| NPI | 1902021546 |
|---|---|
| Doing Business As | WAYNE GENERAL EKG |
| Entity Type | Organization |
| Authorized Contact | KATHY WADDELL Administrator 601-735-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 11-288) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-05-18 |