NPI | 1003087024 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH STUART THOMAS Proprietor 229-242-9565 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 040573) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2008-03-18 |