| NPI | 1477091486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIBRAN B NADDY Owner 931-384-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2019-03-13 |