| NPI | 1063330504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNTER PHILLIPS Owner 229-456-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-27 |