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Organization
SOUTH ARKANSAS WOMENS CLINIC PLC
Active
Organization
SOUTH ARKANSAS WOMENS CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY A. MONROE (OFFICE MANAGER)
(870) 863-8444
Entity
Organization
Contact information
Practice address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Mailing address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N/A
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145638002
—
AR
01
—
CH6503
PALMETTO GBA
—
Enumeration date
06/18/2006
Last updated
05/31/2017
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