NPI: 1104463207 · PORT GIBSON, MS 39150 · Preventive Medicine/Occupational Environmental Medicine Physician · NPI assigned 12/08/2019
| Authorized Official | INWANG, EMMANUEL (DIRECTOR) |
| NPI Enumeration Date | 12/08/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 122 | $497.28 |