| NPI | 1891252250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARICA BROOKINS Owner 833-543-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2022-09-12 |