Organization
SALEM FAMILY PRACTICE CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA G MCGARRY M.D. (PHYSICIAN OWNER)
(501) 794-4110
Entity
Organization
Contact information
Practice address
6640 CONGO RD, BENTON, AR 72019-6913
(501) 794-4110
(501) 316-9360
Mailing address
6640 CONGO RD, BENTON, AR 72019-6913
(501) 794-4110
(501) 316-9360
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MC1718
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F075
BCBS
AR
Enumeration date
06/30/2006
Last updated
11/16/2007
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