| NPI | 1134176480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DENNIS Director 501-224-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 208000000X Pediatrics | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-02-10 |