Organization
HEALTHY CONNECTIONS SPECIALTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA BUSH (CREDENTIALING SPECIALIST)
(479) 437-3449
Entity
Organization
Contact information
Practice address
136 HEALTH PARK DR, MENA, AR 71953-9072
(479) 437-3449
(479) 437-3708
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(479) 437-3449
(479) 243-0285
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/13/2016
Last updated
05/13/2020
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