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Organization

SOUZA-TOWNSEND FAMILY MEDICAL CLINIC, PA

Active
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Organization

SOUZA-TOWNSEND FAMILY MEDICAL CLINIC, PA

Active
Other names
Pottsville Premier Family Medical PA
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA BURROUGH (MANAGER)
(479) 857-8064
Entity
Organization

Contact information

Practice address
5150B SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679
Mailing address
5150B SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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