| Medical Associates Plc | |
|
4201 S Mulberry St Pine Bluff AR 71603-7016 | |
| (870) 535-2200 | |
| (870) 535-2208 |
| Full Name | Medical Associates Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 S Mulberry St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | John D Dedman (OWNER) |
| Authorized Official Contact | 8705352200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Plc 4201 S Mulberry St Pine Bluff AR 71603-7016 Ph: (870) 535-2200 | Medical Associates Plc 4201 S Mulberry St Pine Bluff AR 71603-7016 Ph: (870) 535-2200 |
| NPI Number | 1386670057 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426231358 |
|---|---|
| Medicare Enrollment ID | O20110330000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386670057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MC2236 (Arkansas) | Primary |
| Provider Name | John D Dedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770510331 PECOS PAC ID: 6204880362 Enrollment ID: I20050310000956 |
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