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3 E. Appleby Road Suite 101 Fayetteville AR 72703 | |
(479) 404-1010 | |
(479) 404-1011 |
Full Name | |
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Speciality | General Practice |
Location | 3 E. Appleby Road, Fayetteville, Arkansas |
Authorized Official Name and Position | James Shackelford (CEO) |
Authorized Official Contact | 4794636004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 550 Lowell AR 72745-0550 Ph: (479) 463-7775 | 3 E. Appleby Road Suite 101 Fayetteville AR 72703 Ph: (479) 404-1010 |
NPI Number | 1700297033 |
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Provider Enumeration Date | 05/08/2014 |
Last Update Date | 01/24/2018 |
Identifier | Type | State | Issuer |
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1700297033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | 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 | |