| NPI | 1689907131 |
|---|---|
| Former Legal Business Name | INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOE V. JONES Primary Doctor/ Owner 870-763-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR N-5634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01707 ANP) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-12-29 |