# AMERIS OF ARKANSAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ameris
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609814185
- **Authorized official:** DENIS WELLINGTON MILLER (DIRECTOR)
- **Authorized official phone:** (870) 762-1190

## Contact information

- **Practice address:** 1100 MEDICAL DRIVE, BLYTHEVILLE, AR 72315
- **Practice address phone:** (870) 762-6725
- **Practice address fax:** (870) 762-8125
- **Mailing address:** 1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
- **Mailing address phone:** (870) 762-6725
- **Mailing address fax:** (870) 762-8125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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