| NPI | 1295999472 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NICOLE YOUNKINS Cpc 601-944-1717  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 12674)  | 
| Enumeration Date | 2008-07-16 | 
| Last Update Date | 2008-07-17 |