| NPI | 1710145750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA WHITWELL Administrator 228-374-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |