| NPI | 1205895232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DEAN LOVE Office Administrator/Manager 501-664-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR C6406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR C4841) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-02-11 |