| NPI | 1679567408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FERGUSON SMITH Clinic Administrator 501-664-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2012-07-18 |