| NPI | 1629621198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI OGWO Managing Member 931-302-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-08-28 |