| NPI | 1003045816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN W SEALE Owner 601-948-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 19640) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |