| NPI | 1841570645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE COLBERT Business Manager 662-332-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 20029) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-31 |