Organization
FORREST CITY FAMILY PRACTICE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIDA BYRD (BILLING MANAGER)
(901) 737-3071
Entity
Organization
Contact information
Practice address
902 HOLIDAY DR, SUITE 101, FORREST CITY, AR 72335-9183
(870) 630-1256
Mailing address
902 HOLIDAY DR, SUITE 101, FORREST CITY, AR 72335-9183
(870) 630-1256
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
R3762
AR
207QA0505X
Adult Medicine Physician
Primary
R3762
AR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R3762
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113530001
—
AR
01
—
51280
BCBS INDV NUMBER
AR
01
—
R3762
BCBS GROUP ID
AR
Enumeration date
03/21/2007
Last updated
12/01/2011
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