NPI | 1669146346 |
---|---|
Doing Business As | THE PEDIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | TONYA SIMS Administrator 501-758-1530 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2021-08-05 |
Last Update Date | 2021-08-05 |