NPI | 1821268467 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI AVERY Office Manager 662-327-3195 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 13124) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2012-07-20 |