| NPI | 1992026918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JONES Credentialing Specialist 501-812-7216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |