Organization
FAMILY PHYSICIANS OF JONESBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A MCDANIEL (MD)
(870) 932-2499
Entity
Organization
Contact information
Practice address
3104 APACHE DR, JONESBORO, AR 72401-7405
(870) 932-2499
Mailing address
3104 APACHE DR, JONESBORO, AR 72401-7405
(870) 932-2499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103146001
—
AR
01
—
C5926
AR LICENSE
AR
Enumeration date
12/02/2015
Last updated
03/07/2023
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