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Organization
SOUTH ARKANSAS PHYSICIAN GROUP LLC
Active
Organization
SOUTH ARKANSAS PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN W JONES (PRESIDENT/CEO)
(501) 223-2776
Entity
Organization
Contact information
Practice address
620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
(870) 863-2000
Mailing address
2299 CHAMPAGNOLLE RD, EL DORADO, AR 71730-4841
(870) 881-9015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/15/2023
Last updated
11/16/2023
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