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1300 Elm St Marked Tree AR 72365-2330 | |
(870) 761-4673 | |
(870) 358-1041 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1300 Elm St, Marked Tree, Arkansas |
Authorized Official Name and Position | Barbara Carter (BILLING MANAGER) |
Authorized Official Contact | 2147258062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2200 Fowler Ave Ste B Jonesboro AR 72401-6194 Ph: (870) 761-4673 | 1300 Elm St Marked Tree AR 72365-2330 Ph: (870) 761-4673 |
NPI Number | 1639569379 |
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Provider Enumeration Date | 02/03/2015 |
Last Update Date | 07/16/2015 |
Identifier | Type | State | Issuer |
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1639569379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 06-10E-I (Arkansas) | Primary |