NPI | 1285307744 |
---|---|
Doing Business As | SW COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | AMANDA D GEORGE Vice Chancellor Chief Financial Off 501-686-5670 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
Enumeration Date | 2021-07-29 |
Last Update Date | 2021-07-29 |