| Family Physicians Of Jonesboro | |
|
3104 Apache Dr Jonesboro AR 72401-7405 | |
| (870) 932-2499 | |
| Not Available |
| Full Name | Family Physicians Of Jonesboro |
|---|---|
| Speciality | Family Medicine |
| Location | 3104 Apache Dr, Jonesboro, Arkansas |
| Authorized Official Name and Position | Craig A Mcdaniel (MD) |
| Authorized Official Contact | 8709322499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Physicians Of Jonesboro 3104 Apache Dr Jonesboro AR 72401-7405 Ph: (870) 932-2499 | Family Physicians Of Jonesboro 3104 Apache Dr Jonesboro AR 72401-7405 Ph: (870) 932-2499 |
| NPI Number | 1245605278 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5597067249 |
|---|---|
| Medicare Enrollment ID | O20160112002080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245605278 | NPI | - | NPPES |
| 103146001 | Medicaid | AR | |
| C5926 | Other | AR | AR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Craig A Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912960519 PECOS PAC ID: 2163557554 Enrollment ID: I20100324000650 |
| Provider Name | Troy Vines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124089297 PECOS PAC ID: 8123059581 Enrollment ID: I20100511000508 |
| Provider Name | Candy E Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619450095 PECOS PAC ID: 0244572758 Enrollment ID: I20190502002883 |
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