| NPI | 1003096009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY THOMAS WAKEFIELD Practice Manager 229-247-5275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 051577) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-12-03 |