NPI | 1912258005 |
---|---|
Other Name | AMC |
Entity Type | Organization |
Authorized Contact | MELISSA I TAYLOR Billing Office Supervisor 870-534-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-09-28 |