Organization
CLARKSVILLE MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA J PERRETT (OFFICE MANAGER)
(479) 754-8384
Entity
Organization
Contact information
Practice address
601 W MCKENNON ST, CLARKSVILLE, AR 72830-3523
(479) 754-8384
(479) 754-7141
Mailing address
PO BOX 668, CLARKSVILLE, AR 72830-0668
(479) 754-8384
(479) 754-7141
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MC0283
AR
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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