Organization
ARKANSAS RENAL GROUP PA
Active
Other names
Hot Springs Diagnostic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY EDGIN (CEO)
(501) 624-6000
Entity
Organization
Contact information
Practice address
115 WRIGHTS ST, HOT SPRINGS, AR 71913-6240
(501) 624-6000
(501) 321-0710
Mailing address
115 WRIGHTS ST, HOT SPRINGS, AR 71913-6240
(501) 624-6000
(501) 321-0710
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191312002
—
AR
Enumeration date
12/13/2011
Last updated
09/25/2019
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