Organization
NEUROLOGY CLINIC OF SOUTH ARKANSAS,PA
Active
Organization
NEUROLOGY CLINIC OF SOUTH ARKANSAS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM KHALEEL MD (DIRECTOR)
(870) 863-3373
Entity
Organization
Contact information
Practice address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 247-6160
(870) 247-6167
Mailing address
7500 DOLLARWAY RD STE 403, WHITE HALL, AR 71602-3083
(870) 247-6160
(870) 247-6167
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158303002
—
AR
01
—
5F365
BLUE CROSS
AR
Enumeration date
07/29/2006
Last updated
12/19/2024
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