| NPI | 1275605644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROTIMI SAMUEL Owner President 229-878-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 044082) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |