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South Arkansas Physician Group LLC

Internal Medicine in El Dorado, AR. Organization (NPI-2).

NPI number1316638026
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1316638026
Entity type
Organization (NPI-2)
Legal business name
South Arkansas Physician Group LLC
Organization subpart
No
Enumeration date
May 15, 2023
Certification date
May 15, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

700 W Grove St
El Dorado, AR 71730-4416

Phone 870-863-2000

Mailing address

2299 Champagnolle Rd
El Dorado, AR 71730-4841

Phone 870-881-9015

Authorized official

Brian W Jones
President/Ceo
8708819015

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