Organization
CLEAR SKIN MEDICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ROBIN GRIFFIN APRN (MGR/MEMBER)
(870) 204-5346
Entity
Organization
Contact information
Practice address
715 W SHERMAN AVE, SUITE H, HARRISON, AR 72601-2743
(870) 204-5346
(870) 365-0481
Mailing address
PO BOX 1102, HARRISON, AR 72602-1102
(870) 204-5346
(870) 365-0481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A001877
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190397758
—
AR
Enumeration date
08/16/2014
Last updated
08/16/2014
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