NPI | 1447947171 |
---|---|
Other Name | N/A |
Entity Type | Organization |
Authorized Contact | TERESA GRAHAM President/Manager 601-500-1268 |
Organization Subpart ? | No |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-08-24 |