| NPI | 1841602257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUNDE OLUTADE Member 601-899-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |