Organization Name: | ADVANCED PRACTICE MANAGEMENT, LLC |
NPI Number: | 1972825891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBJANI SOM (CEO) |
Mailing Address: | 456 River Road Fayette |
State: | MS US |
Postal Code: | 39069 |
Phone Number: | 6017860443 |
Fax Number: | 5162329567 |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 06/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |