| NPI | 1225132889 |
|---|---|
| Doing Business As | NEWPORT DIAGNOSTIC MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA R MELTON Clinic Supervisor 870-262-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |