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Organization
SHARE FOUNDATION
Active
Organization
SHARE FOUNDATION
Active
Other names
Palliative Care of South Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WESLEY JONES (PRESIDENT/CEO)
(870) 881-9015
Entity
Organization
Contact information
Practice address
2301 CHAMPAGNOLLE RD, EL DORADO, AR 71730-4816
(870) 862-0337
Mailing address
2299 CHAMPAGNOLLE RD, EL DORADO, AR 71730-4841
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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