| NPI | 1841761129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI M YOUNG Np 601-850-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-06-08 |