NPI | 1407890213 |
---|---|
Doing Business As | SENIOR HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JAMIE MITCHELL Billing Insurance Coordinator 870-733-3867 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2006-06-15 |
Last Update Date | 2012-07-23 |