| NPI | 1568576247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C. WETHERINGTON Office Manager 870-246-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR MC2001) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-10-22 |