| NPI | 1194300145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH HUNTER BAKER President/Owner 772-913-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-05-04 |