| NPI | 1396852901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN MCCORMACK Billing Coordinator 501-223-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-12-13 |