Organization
SALINE PHYSICIAN SERVICES, LLC
Active
Parent organization
SALINE COUNTY MEDICAL SYSTEM
Other names
BRYANT MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALINE COUNTY MEDICAL SYSTEM
Authorized official
KIMBERLY A TITSWORTH (DIRECTOR, PHYSICIAN SERVICES)
(501) 776-6093
Entity
Organization
Contact information
Practice address
319 BRYANT AVE, SUITE 1, BRYANT, AR 72022-3815
(501) 653-0353
(501) 653-0347
Mailing address
PO BOX 1615, SEARCY, AR 72145-1615
(501) 653-0353
(501) 653-0347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182164002
—
AR
Enumeration date
12/21/2009
Last updated
10/12/2015
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