Modern Medicine Pllc | |
350 E Millsap Rd Fayetteville AR 72703-4098 | |
(479) 439-8020 | |
(479) 439-8022 |
Full Name | Modern Medicine Pllc |
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Speciality | General Practice |
Location | 350 E Millsap Rd, Fayetteville, Arkansas |
Authorized Official Name and Position | Lonnie Joseph Parker (SOLE MEMBER) |
Authorized Official Contact | 8708267500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Medicine Pllc 350 E Millsap Rd Fayetteville AR 72703-4098 Ph: (479) 439-8020 | Modern Medicine Pllc 350 E Millsap Rd Fayetteville AR 72703-4098 Ph: (479) 439-8020 |
NPI Number | 1144561390 |
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Provider Enumeration Date | 03/13/2013 |
Last Update Date | 03/13/2013 |
Identifier | Type | State | Issuer |
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1144561390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | E1887 (Arkansas) | Primary |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |