| NPI | 1225188972 |
|---|---|
| Doing Business As | INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLTON A LUE Owner 229-424-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 042340) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |