| NPI | 1972706646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL D HARRIS Owner 601-899-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 19739) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MS 19739) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |