| NPI | 1063754299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H STRONG Official 662-281-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 192853) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |