NPI | 1609942242 |
---|---|
Entity Type | Organization |
Authorized Contact | CALVIN M BRACY President 870-536-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR C4255) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2020-08-22 |