Organization
INTENSIVIST GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADLY ABRAHAM MD (OWNER)
(501) 852-5500
Entity
Organization
Contact information
Practice address
650 UNITED DR STE 200, CONWAY, AR 72032-7001
(501) 852-5500
Mailing address
650 UNITED DR STE 200, CONWAY, AR 72032-7001
(501) 852-5500
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
03/04/2021
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