| NPI | 1003862848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MATTHEW HARDAGE Administrator 501-227-7596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-12-09 |