| NPI | 1477060218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GERRIT DYKES Sole Member 601-695-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS MS15940) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-05-02 |