North Cabot Family Medicine PA
Legal Medicine in Cabot, AR. Organization (NPI-2).
NPI number1750488953
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750488953
- Entity type
- Organization (NPI-2)
- Legal business name
- North Cabot Family Medicine PA
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173000000X | Legal Medicine | – | – | Yes |
Practice location
1911 N 2nd StCabot, AR 72023-2209
Phone 501-843-5757 · Fax 501-843-5700
Mailing address
Po Box 1265Cabot, AR 72023-1265
Phone 501-843-5757 · Fax 501-843-5700
Authorized official
Floyd A Shurley
President
5018435757
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