NPI | 1205457405 |
---|---|
Doing Business As | AMMC PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | KIMBERLY THOMPSON Chief Financial Officer 870-239-7102 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 208800000X Urology |
231H00000X Audiologist | |
363LF0000X Nurse Practitioner, Family | |
363LW0102X Nurse Practitioner, Women's Health | |
207V00000X Obstetrics & Gynecology | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208200000X Plastic Surgery | |
208600000X Surgery | |
207Q00000X Family Medicine | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2021-04-06 |