Individual
TAMMY K POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 HERITAGE DR, SHERIDAN, AR 72150-5000
(870) 942-1301
(870) 942-1305
Mailing address
651 HERITAGE DR, SHERIDAN, AR 72150-5000
(870) 942-1301
(870) 942-1305
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
E0356
AR
208D00000X
General Practice Physician
Primary
E0356
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128522001
—
AR
01
—
908683
MEDICARE
AR
Enumeration date
04/12/2006
Last updated
05/05/2021
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