| NPI | 1013451186 |
|---|---|
| Doing Business As | SUGARLOAF MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-05-02 |