Individual
SMAIL MARYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 S 6 1/2 ST # 1, PARAGOULD, AR 72450-5006
(470) 829-0800
Mailing address
721 S 6 1/2 ST, 1, PARAGOULD, AR 72450-5006
(470) 829-0800
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842201654
—
AR
Enumeration date
06/25/2019
Last updated
06/25/2019
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