Organization
NOYDEEN MEDICAL GROUP BRYANT
Active
Parent organization
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC
Authorized official
DR. AHMED ALI MD (AUTHORIZED OFFICIAL)
(501) 575-0081
Entity
Organization
Contact information
Practice address
2301 SPRINGHILL RD STE 110, BRYANT, AR 72019-7573
(501) 575-0081
Mailing address
2301 SPRINGHILL RD STE 110, BRYANT, AR 72019-7573
(501) 575-0081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-7341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219630002
—
AR
Enumeration date
04/24/2018
Last updated
04/24/2018
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