Organization
PROFESSIONAL DRIVERS MEDICAL DEPOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN ADAMS (BILLING MANAGER)
(615) 661-8929
Entity
Organization
Contact information
Practice address
3902 PETRO ROAD, I-40, EXIT 280, WEST MEMPHIS, AR 72301
(615) 661-8929
(615) 661-8977
Mailing address
3902 PETRO ROAD, WEST MEMPHIS, AR 72301
(615) 661-8929
(615) 661-8977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AR
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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