| NPI | 1467161638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LAMB Credentialing Specialist 662-620-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |