Organization
HERITAGE PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA COLEMAN (CBO SUPERVISOR)
(501) 627-1816
Entity
Organization
Contact information
Practice address
100 MCGOWAN COURT, HOT SPRINGS, AR 71913
(501) 627-1800
(501) 627-1899
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903
(501) 627-1800
(501) 627-1899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
12/21/2007
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