| NPI | 1124252788 |
|---|---|
| Doing Business As | INTERNAL MEDICINE GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIELLE STUART Credentialing Specialist 601-200-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-07-22 |