| NPI | 1982179198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA CAMPBELL Registered Nurse First Assistant 228-342-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-07 |