| NPI | 1083656870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DESHAZO Managing Partner 601-987-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-07-21 |