| NPI | 1497411250 |
|---|---|
| Doing Business As | CLINIC AT THE CAPITOL |
| Entity Type | Organization |
| Authorized Contact | LADONNA YOUNG Owner 870-949-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-01-03 |