| NPI | 1871642215 |
|---|---|
| Doing Business As | MONTICELLO MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT ATKINSON CEO 870-541-7269 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-05-22 |