Organization
ARKANSAS RENAL GROUP PA
Active
Parent organization
ARKANSAS RENAL GROUP PA
Other names
Ouachita Procedure Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS RENAL GROUP PA
Authorized official
JERRY EDGIN (CEO)
(501) 624-6000
Entity
Organization
Contact information
Practice address
115 WRIGHTS ST, SUITE B, HOT SPRINGS, AR 71913-6240
(501) 624-6000
(501) 321-0710
Mailing address
115 WRIGHTS ST, SUITE C, HOT SPRINGS, AR 71913-6240
(501) 624-6000
(501) 321-0710
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
AR
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AR
Other
Enumeration date
11/21/2013
Last updated
09/25/2019
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