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 |