| NPI | 1023388733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY J MEREDITH Dr/Physician 229-444-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41773) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |