| NPI | 1467464933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P BOSARGE Office Manager 251-633-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-11-10 |