| NPI | 1295986669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNETTE HOLLIS Office Manager 870-236-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR C7703) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-12-26 |