NPI | 1306496203 |
---|---|
Doing Business As | WRHS SPECIALTY GROUP |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-09-13 |
Last Update Date | 2024-05-02 |