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Individual

YEVHENIY LIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4000
(870) 414-4949
Mailing address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(404) 265-4450

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2024001361
MO
207P00000X
Emergency Medicine Physician
79977
GA
207P00000X
Emergency Medicine Physician
Primary
E19128
AR

Other

Enumeration date
07/14/2015
Last updated
05/21/2025
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