| NPI | 1942576277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LEACH Dir. Rev. Cycle, Audit & Compliance 601-709-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2026-06-30 |