| NPI | 1063044113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AQUEEL AHMED Owner 501-821-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2021-05-19 |