| NPI | 1952732224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G ANDERSON VP/Administrator 601-553-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-01-15 |