| NPI | 1386865442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY WALT FERGUSON President 870-845-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR C8428) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-02-25 |