Organization
BIVINS FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN G BIVINS MD (OWNER)
(501) 362-6000
Entity
Organization
Contact information
Practice address
101 ELY DR, HEBER SPRINGS, AR 72543-2836
(501) 362-6000
(501) 362-6542
Mailing address
101 ELY DR, HEBER SPRINGS, AR 72543-2836
(501) 362-6000
(501) 362-6542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7660
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110131456
RAILROAD MEDICARE
AR
Enumeration date
03/14/2006
Last updated
11/29/2007
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