Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Other names
Family Health Associates of South Ar.
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JACKSON (CHIEF FINANCIAL OFFICER)
(870) 541-7141
Entity
Organization
Contact information
Practice address
1600 W HOLLAND AVE STE 202, WHITE HALL, AR 71602-9221
(870) 541-7235
(870) 541-4297
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7235
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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