| NPI | 1801844352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHALIA DOROTHY SMITH Physician 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J7289) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-10-27 |