| NPI | 1922011501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BATSON Executive Director 601-264-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 005) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-05-06 |