Organization
MED SOURCES, LTD.
Active
Other names
Nashville Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D WHITE (CFO)
(888) 302-1044
Entity
Organization
Contact information
Practice address
6 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 451-9664
(870) 451-9672
Mailing address
PO BOX 30071, NEW ORLEANS, LA 70190-0071
(888) 302-1044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167966002
—
AR
Enumeration date
08/13/2006
Last updated
07/21/2008
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