| NPI | 1164203360 |
|---|---|
| Doing Business As | INTERNAL MEDICINE RESIDENCY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-01-02 |