| NPI | 1508020603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H STRONG Manager 662-281-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 192853) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2012-01-03 |