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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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