| NPI | 1952476921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA W HILL Secretary 662-842-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R713511) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-07-21 |