| NPI | 1053469486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD KIMBROUGH Manager 662-377-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207T00000X Neurological Surgery | |
| 208D00000X General Practice | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-08-06 |