Dickson Street Clinic | |
102 W Dickson St Fayetteville AR 72701-5219 | |
(479) 521-1114 | |
(479) 521-2540 |
Full Name | Dickson Street Clinic |
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Speciality | Family Medicine - Adult Medicine |
Location | 102 W Dickson St, Fayetteville, Arkansas |
Authorized Official Name and Position | Carl R Magness (OWNER/PHYSICIAN) |
Authorized Official Contact | 4795211114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dickson Street Clinic 102 W Dickson St Fayetteville AR 72701-5219 Ph: (479) 521-1114 | Dickson Street Clinic 102 W Dickson St Fayetteville AR 72701-5219 Ph: (479) 521-1114 |
NPI Number | 1427236926 |
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Provider Enumeration Date | 02/06/2008 |
Last Update Date | 02/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427236926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | C4954 (Arkansas) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |