# UAMS FAMILY MEDICAL CENTER FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053652727
- **Authorized official:** DEBBIE RICHARDSON (CLINIC BUSINESS MANAGER)
- **Authorized official phone:** (479) 424-3110

## Contact information

- **Practice address:** 612 S 12TH ST, FORT SMITH, AR 72901-4702
- **Practice address phone:** (479) 785-2431
- **Mailing address:** 612 S 12TH ST, FORT SMITH, AR 72901-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013