| NPI | 1427662345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILIZABETH ANN WADDELL Asc Administrator 501-766-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2022-02-16 |