| NPI | 1881064517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2025-01-22 |