| NPI | 1215305925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Director 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2023-08-22 |