| NPI | 1609058643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGE RENATE CARTER Owner 501-663-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR C7467) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |