NPI | 1851436117 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN WEBB CROWELL Physician 501-975-1915 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR BL136578) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |