| NPI | 1447744537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA MARIE CONLEY Physician/Owner 662-822-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 32078) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-05-02 |