| NPI | 1992740740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNECE NORWOOD Office Administrator 501-227-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AR 2788) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-12-12 |