Organization
NORTHEAST ARKANSAS CLINIC, PA
Active
Other names
NEA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERROL SCOT DAVIS (CFO)
(870) 934-5803
Entity
Organization
Contact information
Practice address
1835 GRANT AVE., JONESBORO, AR 72401
(870) 934-5101
(870) 932-3608
Mailing address
P.O. BOX 1960, JONESBORO, AR 72403-1960
(870) 934-5101
(870) 932-3608
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139864002
—
AR
Enumeration date
02/16/2006
Last updated
04/05/2010
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