Organization
SALINE PHYSICIAN SERVICES, LLC
Active
Parent organization
SALINE COUNTY MEDICAL SYSTEM
Other names
Healthy Aging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALINE COUNTY MEDICAL SYSTEM
Authorized official
KIMBERLY TITSWORTH (DIRECTOR, PHYSICIAN SERVICES)
(501) 776-6093
Entity
Organization
Contact information
Practice address
5 MEDICAL PARK DR, SUITE 305, BENTON, AR 72015-3729
(501) 574-7400
(501) 574-7401
Mailing address
PO BOX 2577, BENTON, AR 72018-2577
(501) 776-6252
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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