| NPI | 1649536889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M EVANS Owner/President 662-536-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16862) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-05-01 |