NPI | 1861721524 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA L COLLIS Office Manager 731-668-4337 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TN 12441) |
Enumeration Date | 2009-12-09 |
Last Update Date | 2009-12-28 |