| NPI | 1003956459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WARD BALDWIN Physician 662-720-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 15031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 15031) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-11-03 |