| NPI | 1144791351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE O BOSAH President 276-274-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-11-18 |