| NPI | 1528274024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE FLOYD ISKANDER Office Manager 870-633-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR R3460) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-07-21 |