Organization
SOUTH ARKANSAS CHILDRENS COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRAH CLARK APRN, CPNP-PC (MEDICAL EXAMINER)
(870) 562-3392
Entity
Organization
Contact information
Practice address
1130 E MAIN ST, EL DORADO, AR 71730-6324
(870) 862-2272
(870) 862-2276
Mailing address
1154 SOUTHFIELD CUTOFF, EL DORADO, AR 71730-3451
(870) 562-3392
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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