| NPI | 1134130479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENERAL LEE CRANFILL President 870-802-3548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR R4071) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-08-14 |