| NPI | 1134404130 |
|---|---|
| Doing Business As | SOUTH ARKANSAS NEPHROLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JERRY P EDGIN CEO 501-624-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2021-07-27 |