| NPI | 1902820350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA PRATHER Office Manager 662-287-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |