| Lake Hamilton Family Medicine | |
|
1661 Airport Rd Ste F Hot Springs AR 71913-8184 | |
| (501) 651-4300 | |
| (501) 651-4318 |
| Full Name | Lake Hamilton Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1661 Airport Rd Ste F, Hot Springs, Arkansas |
| Authorized Official Name and Position | Brenda Larie Southerland (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5016257500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Hamilton Family Medicine 1661 Airport Rd Suite D Hot Springs AR 71913-7951 Ph: (501) 625-7500 | Lake Hamilton Family Medicine 1661 Airport Rd Ste F Hot Springs AR 71913-8184 Ph: (501) 651-4300 |
| NPI Number | 1376884692 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376884692 | NPI | - | NPPES |
| CG9647 | Other | AR | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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