| NPI | 1922578327 |
|---|---|
| Doing Business As | FAMILY HEALTH ASSOC OF SOUTHEAST AR |
| Entity Type | Organization |
| Authorized Contact | BRYAN JACKSON Chief Financial Officer 870-541-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |