| NPI | 1124194055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY P SLAUGHTER Practice Manager 229-551-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2012-08-06 |