| NPI | 1689078446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA KAY MCMILLEN Resident Physician 501-772-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |