| NPI | 1114503190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK MCCARTY Owner 228-669-7293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-05-11 |