NPI | 1497753198 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JEWELL ATKINS Physician 501-315-0421 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR R2391) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-08-22 |