NPI | 1386743482 |
---|---|
Entity Type | Organization |
Authorized Contact | TAD SCARBROUGH Fnp/Chiropractor/President 870-238-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR P01329) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1544) |
164W00000X Licensed Practical Nurse (Licence: AR P01329) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-12-13 |