| NPI | 1407939564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN J REAMS Partner 229-228-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 029087) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 019585) |
| 103T00000X Psychologist (Licence: GA 002549) | |
| 207Q00000X Family Medicine (Licence: GA 045799) | |
| 207Q00000X Family Medicine (Licence: GA 046526) | |
| 207Q00000X Family Medicine (Licence: GA 033433) | |
| 207Q00000X Family Medicine (Licence: GA 067205) | |
| 207Q00000X Family Medicine (Licence: GA 067559) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-08-25 |