NPI | 1942748488 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANNOAH MCKINDRA WILLIAMS Owner/Nurse Practitioner/Provider 870-329-4730 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AR A03593) |
Enumeration Date | 2017-02-04 |
Last Update Date | 2017-02-04 |