JEFFERSON PULM CC PA

MONTICELLO, AR
NPI1396954228
Entity TypeOrganization
Authorized ContactTANYA M SIMPSON
President
870-850-6053
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: AR  E2334)
Enumeration Date2007-05-21
Last Update Date2020-08-22
Business Address
JEFFERSON PULM CC PA
606 ROBERTS DRIVE
MONTICELLO, AR 71655
Phone number: 870-850-6053
Mailing Address
JEFFERSON PULM CC PA
PO BOX 7824
PINE BLUFF, AR 71611-7824
Phone number: 870-850-6053