NPI | 1457436214 |
---|---|
Doing Business As | INTERNAL MEDICINE SPECIALIST |
Entity Type | Organization |
Authorized Contact | BRENNA RENEE JACKSON Director Of Clinics 870-541-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-10-27 |
Last Update Date | 2008-07-02 |