Internal Medicine Primary Care PA

NPI #1629542832 in Flowood, Mississippi

Provider Information

NPI Number: 1629542832
Entity Type: Organization
Organization Name: Internal Medicine Primary Care PA
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 140 DAUGHDRILL STA
City: Flowood
State: Mississippi
ZIP Code: 39232-8406
Phone: (601) 519-0509

Authorized Official

Name: IMAD TAHBOUB, MD
Title: OWNER
Phone: (601) 519-0509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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