NPI | 1598900672 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W FISK Owner 601-983-7703 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2008-12-03 |
Last Update Date | 2008-12-03 |