# GREG SMART FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1255771598
- **Authorized official:** DR. GREG S SMART M.D. (OWNER/ DOCTOR)
- **Authorized official phone:** (870) 864-0333

## Contact information

- **Practice address:** 209 THOMPSON AVE, EL DORADO, AR 71730-5755
- **Practice address phone:** (870) 864-0333
- **Practice address fax:** (870) 864-0336
- **Mailing address:** 209 THOMPSON AVE, EL DORADO, AR 71730-5755
- **Mailing address phone:** (870) 864-0333
- **Mailing address fax:** (870) 864-0336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C-6052 | AR | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106157001 | — | AR |
