Organization
LEE COUNTY COOPERATIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSSIE M M HALL (BILLING CLERK)
(870) 295-5225
Entity
Organization
Contact information
Practice address
530 ATKINS BLVD, MARIANNA, AR 72360-2113
(870) 295-5225
Mailing address
PO BOX 669, MARIANNA, AR 72360-0669
(870) 295-5225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
03/02/2021
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