Organization
FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC
Active
Other names
Fountains Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WADE PHILLIPS (OWNER)
(601) 859-8200
Entity
Organization
Contact information
Practice address
15200 CHENAL PKWY STE 300, LITTLE ROCK, AR 72211
(501) 451-6080
(501) 451-6081
Mailing address
15200 CHENAL PKWY STE 300, LITTLE ROCK, AR 72211
(501) 451-6080
(501) 451-6081
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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