Organization
SOUTH POINT HEALTHCARE PC
Active
Other names
South Point Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JERNIGAN (ADMINSTRATOR)
(870) 881-8558
Entity
Organization
Contact information
Practice address
613 THOMPSON AVE, EL DORADO, AR 71730-4557
(870) 881-8558
Mailing address
13615 WOODBROOK DR, LITTLE ROCK, AR 72211-3165
(678) 357-6030
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
02/11/2015
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