| NPI | 1922262104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA LITTLE Office Manager 662-286-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |