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1881690519
PHILLIP ADAMS TRACY
JACKSONVILLE, AR
NPI
1881690519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR C5102)
Enumeration Date
2005-06-27
Last Update Date
2008-10-29
Business Address
-- PHILLIP ADAMS TRACY MD
1300 BRADEN ST
JACKSONVILLE, AR 72076-3719
Phone number: 501-985-5900
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Mailing Address
-- PHILLIP ADAMS TRACY MD
PO BOX 309
JACKSONVILLE, AR 72078-0309
Phone number: 501-985-5900
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