| Internal Medicine Specialist | |
|
4201 S Mulberry St Pine Bluff AR 71603-7016 | |
| (870) 541-7220 | |
| (870) 541-8769 |
| Full Name | Internal Medicine Specialist |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 S Mulberry St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Brenna Renee Jackson (DIRECTOR OF CLINICS) |
| Authorized Official Contact | 8705417220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialist 4201 S Mulberry St Pine Bluff AR 71603-7016 Ph: (870) 541-7220 | Internal Medicine Specialist 4201 S Mulberry St Pine Bluff AR 71603-7016 Ph: (870) 541-7220 |
| NPI Number | 1457436214 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457436214 | NPI | - | NPPES |
| 163167002 | Medicaid | AR | |
| DF8389 | Other | AR | RAILROAD MEDICARE |
| 5F637 | Other | AR | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Uams South Central Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 | |
John E Harris Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Suite 5c, Pine Bluff, AR 71603 Phone: 870-534-0202 Fax: 870-534-8836 | |
Primary Care Of Pine Bluff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Claud Rd, Pine Bluff, AR 71602 Phone: 870-247-9499 | |
Jccsi Cross Over Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennssee, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Mike S. Mcfarland Mdpa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3805 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-536-4100 Fax: 870-534-3982 | |
Cdu, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-7111 Fax: 870-850-6482 | |
Walker Healthcare For Women Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-534-8515 Fax: 870-534-7160 |