Organization
SOUZA-TOWNSEND FAMILY MEDICAL CLINIC, PA
Active
Other names
Pottsville Premier Family Medical PA
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BURROUGH (MANAGER)
(479) 857-8064
Entity
Organization
Contact information
Practice address
5150B SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679
Mailing address
5150B SR 247, POTTSVILLE, AR 72858-6002
(479) 567-5680
(479) 567-5679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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