| NPI | 1851726202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T STEINER VP Of Finance 228-867-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-06-23 |