| NPI | 1770555625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L STANCIL President 501-327-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: AR c6670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR c6656) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2011-06-22 |