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Organization
ARKANSAS NEPHROLOGY SERVICES, LTD.
Active
Organization
ARKANSAS NEPHROLOGY SERVICES, LTD.
Active
Other names
South Arkansas Nephrology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONETTE LIGON (ADMINISTRATOR)
(501) 624-6000
Entity
Organization
Contact information
Practice address
620 W GROVE ST, EL DORADO, AR 71730-4414
(870) 862-0801
(870) 862-3687
Mailing address
115 WRIGHTS ST, HOT SPRINGS, AR 71913-6240
(870) 862-0801
(870) 862-3687
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130118002
—
AR
01
—
CH1485
RR MEDICARE PIN
AR
Enumeration date
02/20/2006
Last updated
07/12/2012
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