Organization
WASHINGTON REGIONAL MEDICAL SYSTEM
Active
Other names
Washington Regional Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SHACKELFORD (CEO)
(479) 463-6004
Entity
Organization
Contact information
Practice address
3 E. APPLEBY ROAD, SUITE 101, FAYETTEVILLE, AR 72703
(479) 404-1010
(479) 404-1011
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
01/24/2018
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