Organization
CONTEMPORARY HEALTHCARE FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON LEE CASE M.D. (OWNER)
(479) 754-5337
Entity
Organization
Contact information
Practice address
1100 E POPLAR ST, SUITE A, CLARKSVILLE, AR 72830-4419
(479) 754-5337
(479) 754-5348
Mailing address
1100 E POPLAR ST, SUITE A, CLARKSVILLE, AR 72830-4419
(479) 754-5337
(479) 754-5348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E4826
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178187002
—
AR
01
—
771101602
BREAST CARE
AR
Enumeration date
05/30/2009
Last updated
09/29/2009
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