| NPI | 1538112081 |
|---|---|
| Former Legal Business Name | BURNETT-LINCOLN-PADEN- PLLC |
| Entity Type | Organization |
| Authorized Contact | VALERIE DIGGS Assist. Admin 870-425-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-05-25 |