| NPI | 1255084398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE SANDIFER KUM-NJI Owner 601-895-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2023-06-08 |