NPI | 1982426243 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON PENNINGTON Chief Executive Officer 601-985-8296 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine |
2080P0202X Pediatrics, Pediatric Cardiology | |
Enumeration Date | 2024-10-28 |
Last Update Date | 2024-12-04 |