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Organization
DIRECT MD, LLC
Active
Organization
DIRECT MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M MORGAN (DIRECTOR CREDENTIALING)
(501) 978-8604
Entity
Organization
Contact information
Practice address
2223 GRANT ST, MALVERN, AR 72104-4700
(501) 337-9031
Mailing address
1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
(501) 219-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
06/08/2023
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