| NPI | 1992008429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORA ANN DENNEY Partner, Co Owner 601-798-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 13824) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2017-05-03 |