| NPI | 1326274739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY OSWALT Md/Owner 662-842-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 19214) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |