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Organization
FIRST CARE FAMILY MEDICINE-MENA PLLC
Active
Organization
FIRST CARE FAMILY MEDICINE-MENA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LARIE SOUTHERLAND (BUSINESS OFFICE MANAGER)
(501) 625-7500
Entity
Organization
Contact information
Practice address
1706 HIGHWAY 71 N, MENA, AR 71953-8917
(501) 625-7500
(501) 625-7777
Mailing address
1661 AIRPORT RD, SUITE D, HOT SPRINGS, AR 71913-7951
(501) 625-7500
(501) 625-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225469002
—
AR
Enumeration date
12/03/2016
Last updated
02/05/2020
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