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Organization

POCAHONTAS MEDICAL CLINIC PA

Active
Parent organization
POCAHONTAS MEDICAL CLINIC, PA
Other names
Pocahontas Medical Clinic - Corning
Organization subpart
Yes

Provider details

NPI number
Legal business name
POCAHONTAS MEDICAL CLINIC, PA
Authorized official
CINDY A MARKUM (CREDENTIALING COORDINATOR)
(870) 892-4467
Entity
Organization

Contact information

Practice address
400 W 4TH ST, CORNING, AR 72422-2724
(870) 892-4467
(870) 892-4407
Mailing address
2901 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9438
(870) 892-4467
(870) 892-4407

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139208002
AR
Enumeration date
04/14/2022
Last updated
04/14/2022
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