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Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Other names
Family Health Associates of South Ar.
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JACKSON (CHIEF FINANCIAL OFFICER)
(870) 541-7141
Entity
Organization
Contact information
Practice address
1600 W HOLLAND AVE STE 202, WHITE HALL, AR 71602-9221
(870) 541-7235
(870) 541-4297
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7235
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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