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33 Choctaw Trce Cherokee Village AR 72529-2702 | |
(870) 972-4939 | |
(870) 972-4911 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 33 Choctaw Trce, Cherokee Village, Arkansas |
Authorized Official Name and Position | Carla Jones (OFFICE MANAGER) |
Authorized Official Contact | 8709724000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2707 Browns Ln Jonesboro AR 72401-7213 Ph: (870) 972-4000 | 33 Choctaw Trce Cherokee Village AR 72529-2702 Ph: (870) 972-4939 |
NPI Number | 1477033322 |
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Provider Enumeration Date | 08/20/2018 |
Last Update Date | 04/22/2022 |
Certification Date | 04/22/2022 |
Identifier | Type | State | Issuer |
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1477033322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |