First Choice Family Care | |
476 Hospital Dr Camden AR 71701-4616 | |
(870) 800-9002 | |
Not Available |
Full Name | First Choice Family Care |
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Speciality | Family Medicine |
Location | 476 Hospital Dr, Camden, Arkansas |
Authorized Official Name and Position | Jerakaycia Smith (MD/OWNER) |
Authorized Official Contact | 8708009002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First Choice Family Care 476 Hospital Dr Camden AR 71701-4616 Ph: (870) 800-9002 | First Choice Family Care 476 Hospital Dr Camden AR 71701-4616 Ph: (870) 800-9002 |
NPI Number | 1477175149 |
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Provider Enumeration Date | 05/15/2020 |
Last Update Date | 03/05/2021 |
Medicare PECOS PAC ID | 5799105573 |
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Medicare Enrollment ID | O20201016000038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477175149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jerakaycia D Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457797839 PECOS PAC ID: 4789825373 Enrollment ID: I20160909000364 |
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