NPI | 1447249354 |
---|---|
Entity Type | Organization |
Authorized Contact | REED B HOGAN President Of Corp 601-355-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2005-10-14 |
Last Update Date | 2020-08-22 |