# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Other names:** FGP Managed Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326341488
- **Legal business name:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Authorized official:** AMANDA D GEORGE (ASSOCIATE VC FOR CLINICAL FINANCE)
- **Authorized official phone:** (501) 686-6633

## Contact information

- **Practice address:** 4301 W MARKHAM ST \# 528, LITTLE ROCK, AR 72205-7101
- **Practice address phone:** (501) 614-2006
- **Practice address fax:** (501) 625-6562
- **Mailing address:** 4301 W MARKHAM ST \# 783, LITTLE ROCK, AR 72205-7101
- **Mailing address phone:** (501) 614-2006
- **Mailing address fax:** (501) 625-6562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 06/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 185250002 | — | AR |