NPI | 1881002996 |
---|---|
Entity Type | Organization |
Authorized Contact | MILTON D HOBBS President 662-234-0332 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 07454) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 13540) |
207R00000X Internal Medicine (Licence: MS 13892) | |
Enumeration Date | 2014-08-01 |
Last Update Date | 2015-01-02 |