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Organization

PRO-MED OF JONESBORO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG BROOKS (OWNER)
(870) 931-0022
Entity
Organization

Contact information

Practice address
300 CARSON ST, SUITE 103, JONESBORO, AR 72401-3104
(870) 931-0022
(870) 931-9565
Mailing address
300 CARSON ST, SUITE 103, JONESBORO, AR 72401-3104
(870) 931-0022
(870) 931-9565

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48932
B/C B/S OF ARKANSAS
AR
Enumeration date
10/13/2006
Last updated
12/20/2007
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