| NPI | 1679107825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN H. RUSSELL CFO 662-615-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2025-02-28 |