| NPI | 1902971492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LAMB Credentialing Specialist 662-620-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-07-12 |