Organization
SARK CARE OF AR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LELAND HUTTON EADIE (MANAGING EMPLOYEE)
(615) 733-2064
Entity
Organization
Contact information
Practice address
900 SE 5TH ST STE 22, BENTONVILLE, AR 72712-6090
(615) 733-2064
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 733-2064
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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