Organization
MCGEHEE DESHA CO HOSPITAL
Active
Other names
MAIN STREET MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER KONG GO MD (PHYSICIAN)
(870) 222-3644
Entity
Organization
Contact information
Practice address
206 S 1ST ST, MCGEHEE, AR 71654-2339
(870) 222-3644
(870) 222-3682
Mailing address
206 S 1ST ST, MCGEHEE, AR 71654-2339
(870) 222-3644
(870) 222-3682
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
R3053
AR
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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