| NPI | 1134272339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD COLLIER CEO Or President 731-668-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 20239) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |