| NPI | 1780902155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND F GRENFELL Owner 601-948-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 21031) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |