NPI | 1124436977 |
---|---|
Entity Type | Organization |
Authorized Contact | BERTHRONE MOCK-MUHAMMAD Physician Owner 601-707-7899 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
2251C2600X Physical Therapist Cardiopulmonary | |
2251E1300X Physical Therapist Electrophysiology, Clinical | |
225700000X Massage Therapist | |
Enumeration Date | 2014-07-24 |
Last Update Date | 2023-09-26 |