| NPI | 1750254819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BUIE Director Of Operations 601-898-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |