| NPI | 1114267382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROWE SANDERS CROWDER Member 228-463-1649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 14176) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2015-05-06 |