Organization
HUNTSVILLE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA DICKEY APRN (MANAGER)
(479) 738-1700
Entity
Organization
Contact information
Practice address
705 PHILLIPS PL, PO BOX 860, HUNTSVILLE, AR 72740
(479) 738-1700
(479) 738-5510
Mailing address
PO BOX 860, HUNTSVILLE, AR 72740-0860
(479) 738-1700
(479) 738-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/07/2025
Last updated
11/26/2025
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