| NPI | 1033461009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANTINA JOHNSON Owner/Manager 877-953-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 21445) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-11-16 |