| NPI | 1740437698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOODIE MONROE DEMING President 731-664-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-11-20 |