| NPI | 1649496357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TYRAY JIMMERSON Physician 501-569-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-1845) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-05-06 |