| NPI | 1639407059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L COLLIS Office Manager 731-668-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 29292) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |