NPI | 1255410296 |
---|---|
Doing Business As | WRMC PEDIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | LISA RENAE MELTON Clinic Supervisor 870-262-6039 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |