| NPI | 1689081598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASAN RAMASWAMY Medical Director 501-847-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AR E-4676) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2015-01-05 |