Organization
COUNTY OF WASHINGTON
Active
Parent organization
COUNTY OF WASHINGTON
Other names
Washington County HIV Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF WASHINGTON
Authorized official
LINDA MCGHEE M.D. (MEDICAL DIRECTOR)
(479) 973-8450
Entity
Organization
Contact information
Practice address
3270 N. WIMBERLY DRIVE, FAYETTEVILLE, AR 72703
(479) 973-8450
(479) 973-8452
Mailing address
3270 N. WIMBERLY DRIVE, FAYETTEVILLE, AR 72703
(479) 973-8450
(479) 973-8452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARC4505
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122854002
—
AR
Enumeration date
12/26/2006
Last updated
05/23/2012
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