| NPI | 1710049200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M RODBERG President 228-872-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 14252) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 18516) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 17943) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 14252) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 18516) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 17943) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MS 15014) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 14252) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 17943) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-01-22 |