| NPI | 1457436214 |
|---|---|
| Doing Business As | INTERNAL MEDICINE SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | BRENNA RENEE JACKSON Director Of Clinics 870-541-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-02 |