NPI | 1144609751 |
---|---|
Doing Business As | WRMC INTERNAL MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2015-05-28 |
Last Update Date | 2024-05-02 |