NPI | 1467481317 |
---|---|
Doing Business As | NW MISSISSIPPI KIDNEY CENTER |
Entity Type | Organization |
Authorized Contact | LISA THOMAS HEARN Manager 662-335-4105 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 22784) |
Additional Taxonomies | 207R00000X Internal Medicine |
207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
207RN0300X Internal Medicine Nephrology | |
207RN0300X Internal Medicine Nephrology (Licence: MS 11536) | |
207RN0300X Internal Medicine Nephrology (Licence: MS 22233) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2014-01-29 |