| NPI | 1518989003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYN TUCKER REED Office Manager 601-372-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-05-19 |