| NPI | 1063505386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G TAYLOR Owner 662-327-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2010-11-02 |