| NPI | 1548205602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODIE M. DEMING President 731-664-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-08-14 |