| NPI | 1851305429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE HANNAH Coding Specialist 601-364-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-02-10 |