NPI | 1275688616 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS WOODROE ELKINS Surgeon 870-425-3291 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR C-7077) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2008-08-13 |