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 |