| NPI | 1629694476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYABO F. MURAINA Business Manager 478-477-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-25 |