| NPI | 1770863276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE THECKEDATH President/CEO 229-446-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 045992) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2013-03-20 |