| NPI | 1841655164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN DONALDSON President 662-349-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS APN06640) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2024-03-21 |