NPI | 1700830494 |
---|---|
Entity Type | Organization |
Authorized Contact | AKWASI A AMPONSAH CEO 601-582-5805 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 17488) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 14600) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 14600) | |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: MS 14600) | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MS 17488) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2013-08-14 |