| NPI | 1629145719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK JOSEPH RODRIGUEZ Owner 601-442-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MS 15252) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-02-01 |