Organization
FAMILY PRACTICE CLINIC OF PARAGOULD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LYNN STICKEL (ADMINISTRATOR)
(870) 239-4076
Entity
Organization
Contact information
Practice address
1015 W KINGSHIGHWAY, PARAGOULD, AR 72450-4142
(870) 239-4076
Mailing address
1015 W KINGSHIGHWAY, PARAGOULD, AR 72450-4142
(870) 239-4076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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