| NPI | 1568123982 |
|---|---|
| Other Name | JEFFERSON REGIONAL STAR CITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHAYLA ROBINSON Corporate Compliance Officer 870-541-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-04-01 |