Organization
INTENSIVIST GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADLY ABRAHAM (PRESIDENT)
(501) 852-5500
Entity
Organization
Contact information
Practice address
650 UNITED DR STE 200, CONWAY, AR 72032-7001
(501) 852-5500
(501) 358-6196
Mailing address
650 UNITED DR STE 200, CONWAY, AR 72032-7001
(501) 852-5500
(501) 358-6196
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
03/04/2021
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