| NPI | 1992998124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C FARMER CEO 601-376-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MS 16951) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-11-07 |