| NPI | 1568147031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GEORGE Vice Chancellor Chief Financial Off 501-686-5670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |