Organization
JEFFERSON HOSPITAL ASSOCIATION
Active
Other names
SHAH FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P ATKINSON (PRESIDENT)
(870) 541-7269
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, SUITE 4B, PINE BLUFF, AR 71603-6940
(870) 535-4640
Mailing address
1801 W 40TH AVE, SUITE 4B, PINE BLUFF, AR 71603-6940
(870) 535-4640
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E4113
AR
Other
Enumeration date
03/27/2008
Last updated
04/08/2008
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