| NPI | 1134885833 |
|---|---|
| Doing Business As | LOCKESBURG FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | RUSTY LYNN GRIFFIN Owner 501-765-0275 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-12-02 |