NPI | 1124513874 |
---|---|
Doing Business As | HOMETOWN CLINIC AT WEST PLAINS, LLC |
Entity Type | Organization |
Authorized Contact | KARMAN NESBITT Director, Primary Care Clinics 870-269-3455 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2018-06-26 |
Last Update Date | 2021-05-05 |