NPI | 1437254836 |
---|---|
Doing Business As | IMA TUPELO |
Entity Type | Organization |
Authorized Contact | GERALD KIMBROUGH Manager 662-377-4685 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
Enumeration Date | 2006-09-13 |
Last Update Date | 2023-04-17 |