| NPI | 1336637842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L WILLIAMS Owner/Manager 479-721-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR MC-3303) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-07-11 |