| NPI | 1750324521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DARRELL KING President 731-645-7932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-08-05 |