| NPI | 1629008248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J GOOLSBY Owner 800-906-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN MD0000024339) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |