| NPI | 1558460642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA SETHI Manager 601-956-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 16465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 16465) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-01-13 |