NPI | 1942093554 |
---|---|
Doing Business As | SOUTH CENTRAL INTERNAL MEDICINE RESIDENCY CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHEN EAST CFO 601-399-6144 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-07-11 |