| NPI | 1104683374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WADDELL VP Of Surgical Services 501-766-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |