| NPI | 1376559880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D SHEPHERD Director 662-844-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-11-28 |