# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UAMS Family Medical Clinic-Magnolia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316321243
- **Authorized official:** JANET S HICKS (PRACTICE MANAGER)
- **Authorized official phone:** (501) 686-7650

## Contact information

- **Practice address:** 1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
- **Practice address phone:** (870) 234-7676
- **Practice address fax:** (501) 686-2729
- **Mailing address:** 1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
- **Mailing address phone:** (870) 234-7676
- **Mailing address fax:** (501) 686-2729

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 07/09/2015