| NPI | 1306882790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN SCOTT HARDIN Owner 870-862-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR C4488) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01412) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |