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Organization
FAITH MEDICAL INCORPORATED
Active
Organization
FAITH MEDICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PENNINGTON (CEO)
(903) 276-6162
Entity
Organization
Contact information
Practice address
1360 S CONSTITUTION AVE, ASHDOWN, AR 71822-8652
(870) 898-3838
(870) 898-3946
Mailing address
420 BRODIE LN, ASHDOWN, AR 71822-9606
(903) 276-6162
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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