| NPI | 1275628596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY I SCROGGGINS Office Manager 870-741-6373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C4664) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-06-17 |