# CENTRAL MEDICAL GROUP

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

## Provider details

- **NPI number:** 1205895232
- **Authorized official:** MRS. GLORIA DEAN LOVE (OFFICE ADMINISTRATOR/MANAGER)
- **Authorized official phone:** (501) 664-5932

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | C4841 | AR | — |
| 207R00000X | Internal Medicine Physician | C6406 | AR | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 02/11/2008