| NPI | 1699412734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS G CONGER Owner/Operator 228-236-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |