| NPI | 1578965240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L PORTIS President 601-936-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 21256) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |