| 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 |