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Organization
SOUTH FORK HEALTH AND WELLNESS LLC
Active
Organization
SOUTH FORK HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SUMMERHILL DO (OWNER)
(870) 500-4225
Entity
Organization
Contact information
Practice address
105 PINTO PLACE, SALEM, AR 72576-7011
(870) 500-4225
Mailing address
105 PINTO PLACE, SALEM, AR 72576-7011
(870) 500-4225
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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