| NPI | 1982126983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W EMBRY Owner/Nurse Practitioner 228-364-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |