NPI | 1275569758 |
---|---|
Doing Business As | JUSTISS LINDSEY CLINIC AHEC |
Entity Type | Organization |
Authorized Contact | KATHLEEN WYLIE Office Manager 870-541-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-08-22 |