| NPI | 1285722108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HAMIL Credentialing Coordinator 601-649-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-06-24 |