| Greg Smart Family Practice | |
|
209 Thompson Ave El Dorado AR 71730-5755 | |
| (870) 864-0333 | |
| (870) 864-0336 |
| Full Name | Greg Smart Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 209 Thompson Ave, El Dorado, Arkansas |
| Authorized Official Name and Position | Greg S Smart (OWNER/ DOCTOR) |
| Authorized Official Contact | 8708640333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Smart Family Practice 209 Thompson Ave El Dorado AR 71730-5755 Ph: (870) 864-0333 | Greg Smart Family Practice 209 Thompson Ave El Dorado AR 71730-5755 Ph: (870) 864-0333 |
| NPI Number | 1255771598 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255771598 | NPI | - | NPPES |
| 106157001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C-6052 (Arkansas) | Primary |
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