Organization
PSYCHIATRIC CLINIC OF HOT SPRINGS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES S LANE III MD (PRESIDENT)
(501) 262-5614
Entity
Organization
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 262-5614
Mailing address
PO BOX 6005, HOT SPRINGS, AR 71902-6005
(501) 262-5614
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C5421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121301002
—
AR
Enumeration date
11/01/2006
Last updated
05/04/2012
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