| NPI | 1992166094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMANDA BRUMFIELD President 601-466-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R865509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19209) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |