Organization
EAST ARKANSAS FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WARD-JONES MD (CEO)
(870) 735-3842
Entity
Organization
Contact information
Practice address
102 W BROAD ST, LEPANTO, AR 72354-2200
(870) 735-3842
(870) 732-1940
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
(870) 394-4817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122837749
—
AR
Enumeration date
08/04/2008
Last updated
11/18/2020
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