| NPI | 1659566719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN REBECCA MCCARLEY Apn 501-581-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR F1104137) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |