| NPI | 1780855700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ADOLFO CARLO Owner/President 601-798-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 19599) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |