NPI | 1376642082 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS CLINTON LEAVENGOOD President 228-432-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MS 11243) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-03-07 |