| NPI | 1396904017 |
|---|---|
| Doing Business As | JCCSI BREAST CARE |
| Entity Type | Organization |
| Authorized Contact | LARNELL DAVIS Executive Director 870-543-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |