NPI | 1730242462 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN RYOHWAN JANG President 601-444-4798 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MS 17887) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 17888) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2011-10-11 |