| NPI | 1457904005 |
|---|---|
| Doing Business As | WRMC MEDICAL COMPLEX CHEROKEE VILLAGE SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-05-02 |