| White Hall Primary Care Plus Pllc | |
|
1400 Claud Rd Pine Bluff AR 71602-8622 | |
| (870) 247-9499 | |
| (870) 247-9495 |
| Full Name | White Hall Primary Care Plus Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Claud Rd, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Roy Douglas Coleman (OWNER) |
| Authorized Official Contact | 8702479499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Hall Primary Care Plus Pllc 1400 Claud Rd Pine Bluff AR 71602-8622 Ph: (870) 247-9499 | White Hall Primary Care Plus Pllc 1400 Claud Rd Pine Bluff AR 71602-8622 Ph: (870) 247-9499 |
| NPI Number | 1962925321 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962925321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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