FORT SMITH HMA PBC MANAGEMENT, LLC

FORT SMITH, AR
NPI1306269006
Doing Business AsSPARKS CLINIC INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactSTACY LUCIUS
President, Hmpn
239-552-3575
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2014-01-31
Last Update Date2014-01-31
Business Address
FORT SMITH HMA PBC MANAGEMENT, LLC
4700 KELLEY HWY STE B
FORT SMITH, AR 72904-5024
Phone number: 479-573-7990
Mailing Address
FORT SMITH HMA PBC MANAGEMENT, LLC
PO BOX 402319
ATLANTA, GA 30384-2319
Phone number: 479-573-7990