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Organization
SOUTHERN MEDICAL GROUP LLC
Active
Organization
SOUTHERN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MORRIS BILLING (BILLING)
(870) 234-5995
Entity
Organization
Contact information
Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-5995
(870) 234-0278
Mailing address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-5995
(870) 234-0278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/05/2006
Last updated
06/19/2012
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