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Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Other names
Jefferson Regional Monticello Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA ROBINSON (CORPORATE COMPLIANCE OFFICER)
(870) 541-7395
Entity
Organization
Contact information
Practice address
906 ROBERTS DRIVE, SUITE B, MONTICELLO, AR 71655-5724
(870) 367-1461
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
04/01/2022
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