GPN JACKSONVILLE LLC

JACKSONVILLE, AR
NPI1376812487
Entity TypeOrganization
Authorized ContactSAMUEL D HUCKABEE
CEO
318-629-5349
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2011-12-19
Last Update Date2012-08-27
Business Address
GPN JACKSONVILLE LLC
1400 BRADEN ST ER DEPT
JACKSONVILLE, AR 72076-3721
Phone number: 501-985-7315
Mailing Address
GPN JACKSONVILLE LLC
PO BOX 3925
SHREVEPORT, LA 71133-3925
Phone number: 800-684-0052
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