| NPI | 1700213279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LORRAINE NOONAN Physician Business Services Dir. 228-575-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2024-01-09 |