# SOUTH ARKANSAS PHYSICIAN GROUP LLC

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

## Provider details

- **NPI number:** 1285325969
- **Authorized official:** BRIAN W JONES (PRESIDENT/CEO)
- **Authorized official phone:** (501) 223-2776

## Contact information

- **Practice address:** 620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
- **Practice address phone:** (870) 863-2000
- **Mailing address:** 2299 CHAMPAGNOLLE RD, EL DORADO, AR 71730-4841
- **Mailing address phone:** (870) 881-9015

## Taxonomy

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