# MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MANA FM South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407806052
- **Authorized official:** TERRY HURT (CFO)
- **Authorized official phone:** (479) 571-6780

## Contact information

- **Practice address:** 2523 E HUNTSVILLE RD, FAYETTEVILLE, AR 72701-7329
- **Practice address phone:** (479) 442-2822
- **Practice address fax:** (479) 582-1754
- **Mailing address:** PO BOX 1523, FAYETTEVILLE, AR 72702-1523
- **Mailing address phone:** (479) 571-6038
- **Mailing address fax:** (479) 582-0222

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 12/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 155662002 | — | AR |
| 01 | — | 5B809 | AR BLUE CROSS/BLUE SHIELD | AR |