| NPI | 1245276740 |
|---|---|
| Doing Business As | INTERNAL MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-04-02 |