Organization
SOUTH ARKANSAS WOMENS CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY A. MONROE (OFFICE MANAGER)
(870) 863-8444
Entity
Organization
Contact information
Practice address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Mailing address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8444
(870) 863-7540
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145638002
—
AR
01
—
CH6503
PALMETTO GBA
—
Enumeration date
06/18/2006
Last updated
05/31/2017
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