| NPI | 1558316406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKECHI PATRICIA UGWUH-MOSS Doctor/Owner 501-664-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR E1042) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-08-24 |