# FAMILY PHYSICIANS OF JONESBORO

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

## Provider details

- **NPI number:** 1245605278
- **Authorized official:** CRAIG A MCDANIEL (MD)
- **Authorized official phone:** (870) 932-2499

## Contact information

- **Practice address:** 3104 APACHE DR, JONESBORO, AR 72401-7405
- **Practice address phone:** (870) 932-2499
- **Mailing address:** 3104 APACHE DR, JONESBORO, AR 72401-7405
- **Mailing address phone:** (870) 932-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103146001 | — | AR |
| 01 | — | C5926 | AR LICENSE | AR |