| NPI | 1295963742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRISSETT Manager 601-944-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 13968) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |