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 |