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Sfmpe - Crittenden, LLC

Internal Medicine in West Memphis, AR. Organization (NPI-2).

NPI number1043676984
StatusActive
Last updated in NPPESJun 23, 2016

Details

NPI
1043676984
Entity type
Organization (NPI-2)
Legal business name
Sfmpe - Crittenden, LLC
Organization subpart
No
Enumeration date
Jan 7, 2016
Last updated
Jun 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

300 S Rhodes St
West Memphis, AR 72301-4215

Phone 870-400-0433 · Fax 870-732-7765

Mailing address

Po Box 743743
Atlanta, GA 30374-3743

Phone 870-400-0433 · Fax 870-732-7765

Authorized official

Wesley O. James
Regional Cfo, Tenet
4042655009

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