| NPI | 1407075302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L MILES Owner 228-474-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX 16488) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |