| NPI | 1184941015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WEAVER Owner 501-812-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-5904) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-04 |