| NPI | 1689798449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A. PRIVETT Office Manager 870-338-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR R4048) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-07-02 |