| NPI | 1730984998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMAGE JEREMY WHITEHEAD President/CFO 870-347-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 207Q00000X Family Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2026-01-29 |