| NPI | 1992083588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA REBECCA MARTIN Physician 501-786-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR e-5121) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR e-5121) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR e-5332) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2012-12-12 |