Organization
NAYLES MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANA NAYLES (OFFICE ADMINISTRATOR)
(501) 371-0055
Entity
Organization
Contact information
Practice address
1400 MAIN ST, LITTLE ROCK, AR 72202-5036
(501) 371-0055
(501) 371-0088
Mailing address
1400 MAIN ST, LITTLE ROCK, AR 72202-5036
(501) 371-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6342
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103668001
—
AR
01
—
5F409
GROUP P TAN
AR
Enumeration date
12/06/2006
Last updated
11/07/2016
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