# DIRECT MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457077356
- **Authorized official:** KIM M MORGAN (DIRECTOR CREDENTIALING)
- **Authorized official phone:** (501) 978-8604

## Contact information

- **Practice address:** 2223 GRANT ST, MALVERN, AR 72104-4700
- **Practice address phone:** (501) 337-9031
- **Mailing address:** 1701 S SHACKLEFORD RD, LITTLE ROCK, AR 72211-4335
- **Mailing address phone:** (501) 219-7000

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2022
- **Last updated:** 06/08/2023