| NPI | 1962423897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY MORGAN Physician/Owner 662-665-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 15760) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2016-03-01 |