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Organization

GL CRANFILL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENERAL LEE CRANFILL III MD (PRESIDENT)
(870) 802-3548
Entity
Organization

Contact information

Practice address
615 E MATTHEWS, STE C, JONESBORO, AR 72401
(870) 802-3548
(870) 802-2568
Mailing address
615 E MATTHEWS, STE C, JONESBORO, AR 72401
(870) 802-3548
(870) 802-2568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4071
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117454001
AR
01
53629
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/11/2006
Last updated
08/14/2008
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