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Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SHACKELFORD (CEO)
(479) 463-6004
Entity
Organization
Contact information
Practice address
3 E. APPLEBY ROAD, SUITE 101, FAYETTEVILLE, AR 72703
(479) 404-1010
(479) 404-1011
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
01/24/2018
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