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Organization

CENTRAL MEDICAL GROUP

Active
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Organization

CENTRAL MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA DEAN LOVE (OFFICE ADMINISTRATOR/MANAGER)
(501) 664-5932
Entity
Organization

Contact information

Practice address
1 SAINT VINCENT CIR, SUITE 350, LITTLE ROCK, AR 72205-5405
(501) 664-5932
(501) 296-9008
Mailing address
1 SAINT VINCENT CIR, SUITE 350, LITTLE ROCK, AR 72205-5405
(501) 664-5932
(501) 296-9008

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C4841
AR
207R00000X
Internal Medicine Physician
Primary
C6406
AR

Other

Enumeration date
03/20/2006
Last updated
02/11/2008
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