NPI | 1174606404 |
---|---|
Doing Business As | SUHAIL I HAWATT MD |
Entity Type | Organization |
Authorized Contact | DIRENDIA SHACKELFORD Managed Care Specialist 800-654-0889 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA C37808) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-06-16 |