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Organization

APRN MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMIE MICHELLE SMITH APRN (PROVIDER)
(479) 422-0008
Entity
Organization

Contact information

Practice address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 310-8197
Mailing address
11920 DAVIS FORD RD., SPRINGDALE, AR 72764
(479) 422-0008
(479) 419-9466

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
04/06/2018
Last updated
04/06/2018
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