| NPI | 1003215955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ROBIN GRIFFIN Mgr/Member 870-204-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001877) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |