| 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 |