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1106 S Pine St Ste B Cabot AR 72023-3819 | |
(501) 580-6389 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 1106 S Pine St Ste B, Cabot, Arkansas |
Authorized Official Name and Position | Kimberly M Griffith (OWNER/APRN) |
Authorized Official Contact | 5014226373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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909 W Main St Ste 187 Jacksonville AR 72076-4025 Ph: (501) 580-6389 | 1106 S Pine St Ste B Cabot AR 72023-3819 Ph: (501) 580-6389 |
NPI Number | 1811551336 |
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Provider Enumeration Date | 04/30/2019 |
Last Update Date | 03/26/2021 |
Medicare PECOS PAC ID | 3577980929 |
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Medicare Enrollment ID | O20200831000962 |
Identifier | Type | State | Issuer |
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1811551336 | NPI | - | NPPES |
Provider Name | David Shenker |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578511473 PECOS PAC ID: 1658356639 Enrollment ID: I20040623000461 |
Provider Name | Robert W Balentine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609927706 PECOS PAC ID: 9032297288 Enrollment ID: I20091009000500 |
Provider Name | Andrew M Bates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841733300 PECOS PAC ID: 6507147634 Enrollment ID: I20170104001863 |
Provider Name | Kimberly M Griffith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427540525 PECOS PAC ID: 5193072551 Enrollment ID: I20180717003179 |
Provider Name | Danica Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184400574 PECOS PAC ID: 0345695516 Enrollment ID: I20231006002863 |
Provider Name | Jessica Jeffers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548951577 PECOS PAC ID: 9830544816 Enrollment ID: I20231011001173 |
Provider Name | Anna M Wells |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215276977 PECOS PAC ID: 5496992430 Enrollment ID: I20240814002739 |
Jerry L Harvey, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15361 Highway 5, Suite E, Cabot, AR 72023 Phone: 501-605-9355 | |