| NPI | 1710499744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BENJAMIN BURNS Owner/Sole Proprietor 228-769-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 18248) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |