| NPI | 1528318011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J BENNETT Office Manager 501-833-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AR C3284) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |