| NPI | 1790954345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE J JONES Insurance Clerk 251-990-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 14135) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-06-12 |