| Westside Family Medical Clinic | |
|
103 Woodlane Dr Searcy AR 72143 | |
| (501) 268-3733 | |
| (501) 207-6139 |
| Full Name | Westside Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Woodlane Dr, Searcy, Arkansas |
| Authorized Official Name and Position | Timothy M Killough (OWNER PHYSICIAN) |
| Authorized Official Contact | 5012683733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Medical Clinic 103 Woodlane Dr Searcy AR 72143 Ph: (501) 268-3733 | Westside Family Medical Clinic 103 Woodlane Dr Searcy AR 72143 Ph: (501) 268-3733 |
| NPI Number | 1922111780 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922111780 | NPI | - | NPPES |
| 115507001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C7302 (Arkansas) | Primary |
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