| NPI | 1114184926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L SMITH Owner 601-944-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 05323) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-10-30 |