# INTERNAL MEDICINE ASSOC. OF WEST MEMPHIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932168168
- **Authorized official:** MRS. MICKEY LYNNE LANGDON (OFFICE MANAGER)
- **Authorized official phone:** (870) 735-1973

## Contact information

- **Practice address:** 228 W TYLER AVE, SUITE 200, WEST MEMPHIS, AR 72301-4223
- **Practice address phone:** (870) 735-1973
- **Practice address fax:** (870) 735-5433
- **Mailing address:** 228 W TYLER AVE, SUITE 200, WEST MEMPHIS, AR 72301-4223
- **Mailing address phone:** (870) 735-1973
- **Mailing address fax:** (870) 735-5433

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 08/22/2020