Organization
ST. GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY D ROBINSON (SUPERVISOR)
(501) 227-6980
Entity
Organization
Contact information
Practice address
5800 W 10TH ST, SUITE 205, LITTLE ROCK, AR 72204-1752
(501) 227-6980
(501) 227-8144
Mailing address
5800 W 10TH ST, SUITE 205, LITTLE ROCK, AR 72204-1752
(501) 227-6980
(501) 227-8144
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
R1676
AR
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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