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Organization
AMERIS OF ARKANSAS
Active
Organization
AMERIS OF ARKANSAS
Active
Other names
Ameris
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS WELLINGTON MILLER (DIRECTOR)
(870) 762-1190
Entity
Organization
Contact information
Practice address
1100 MEDICAL DRIVE, BLYTHEVILLE, AR 72315
(870) 762-6725
(870) 762-8125
Mailing address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 762-6725
(870) 762-8125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
06/04/2006
Last updated
06/21/2018
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