| NPI | 1053501643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SINCLAIR Regional Manager 601-936-3102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |