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105 N Jackson St Cabot AR 72023-3058 | |
(501) 843-6528 | |
(501) 843-0144 |
Full Name | |
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Speciality | Family Medicine |
Location | 105 N Jackson St, Cabot, Arkansas |
Authorized Official Name and Position | Joe A Abrams (OWNER) |
Authorized Official Contact | 5018436528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1330 Cabot AR 72023-1330 Ph: (501) 843-6528 | 105 N Jackson St Cabot AR 72023-3058 Ph: (501) 843-6528 |
NPI Number | 1295868263 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 06/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295868263 | NPI | - | NPPES |
102551001 | Medicaid | AR | |
50012 | Other | AR | BLUE CROSSBLUE SHIELD |
4561544 | Other | AR | AETNA ID |
111790000-00 | Other | AR | QUALCHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C4794 (Arkansas) | Primary |
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 | |