| NPI | 1962818146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F. WENDER Treasurer 601-957-7345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |