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4700 Kelley Hwy Ste B Fort Smith AR 72904-5024 | |
(479) 573-7990 | |
(479) 573-7991 |
Full Name | |
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Speciality | Internal Medicine |
Location | 4700 Kelley Hwy Ste B, Fort Smith, Arkansas |
Authorized Official Name and Position | Stacy Lucius (PRESIDENT, HMPN) |
Authorized Official Contact | 2395523575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 402319 Atlanta GA 30384-2319 Ph: (479) 573-7990 | 4700 Kelley Hwy Ste B Fort Smith AR 72904-5024 Ph: (479) 573-7990 |
NPI Number | 1306269006 |
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Provider Enumeration Date | 01/31/2014 |
Last Update Date | 01/31/2014 |
Identifier | Type | State | Issuer |
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1306269006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Healthmax Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12300 Highway 71 S, Suite A, Fort Smith, AR 72916 Phone: 479-755-6595 Fax: 479-755-6596 | |
Waldron Place Pediatric Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903 Phone: 479-452-8311 Fax: 479-452-5032 | |
Remedy Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Waldron Rd Ste 100, Fort Smith, AR 72903 Phone: 479-888-8305 Fax: 918-395-9149 | |