| NPI | 1447305461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE JENNINGS Insurance Clerk 501-663-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR MC1819) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |