| NPI | 1336140847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ALCORN MARTIN M.D. 662-840-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 09923) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |