| NPI | 1841593555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CONES President 501-412-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR E5860) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2022-03-25 |