| NPI | 1225196934 |
|---|---|
| Former Legal Business Name | SOUTHWEST LITTLE ROCK MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROL SUE CARUTHERS Physician 501-562-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AR N6021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ N6021) |
| 208D00000X General Practice | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |