| NPI | 1578176020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WAYNE NEAVILLE Owner And Physician 870-307-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2022-07-12 |