| NPI | 1235302134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ALEXANDER-COOK President 234-312-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2017-11-14 |