| NPI | 1841602810 |
|---|---|
| Other Name | CHICOT MEMORIAL MEDICAL CENTER SURGICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRITTANY LEE HORN Provider Enrollment 870-265-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-09-18 |