# SOUTHERN MEDICAL ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1578877205
- **Authorized official:** DR. ANTHONY K GORDON MD (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** 87071816128506053

## Contact information

- **Practice address:** 6810 S HAZEL ST, PINE BLUFF, AR 71603-7828
- **Practice address phone:** (870) 541-0342
- **Practice address fax:** (870) 850-2946
- **Mailing address:** 123 NOYANT DR, LITTLE ROCK, AR 72223-5078
- **Mailing address phone:** (870) 541-0342
- **Mailing address fax:** (870) 850-2946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E1629 | AR | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 02/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 184916002 | — | AR |