Individual
DR. TOMMY LEE LOVE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SAINT VINCENT CIR, 350, LITTLE ROCK, AR 72205-5405
(501) 664-5932
(501) 664-7301
Mailing address
1 SAINT VINCENT CIR, 350, LITTLE ROCK, AR 72205-5405
(501) 664-5932
(501) 664-7301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C4841
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205895232
RAILROAD MEDICARE GA
—
Enumeration date
08/02/2006
Last updated
12/12/2007
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