| NPI | 1508036575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD SINCLAIR Regional Director 601-936-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |