| NPI | 1235329020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SINCLAIR Regional Manager 601-936-3102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |