| NPI | 1740259217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B PIERCE Administrator/Owner 870-268-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR C5299) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-09-12 |