| NPI | 1952525859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGUYEN PHONG HUYNH Physician 228-396-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 19541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19050) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2011-01-04 |