Organization
AMMC PHYSICIAN SERVICES INC
Active
Other names
AMMC ORTHOPEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN G JACKSON (CFO)
(870) 239-7101
Entity
Organization
Contact information
Practice address
1000 W KINGSHIGHWAY, PARAGOULD, AR 72450-4141
(870) 239-7000
Mailing address
1000 W KINGSHIGHWAY, PARAGOULD, AR 72450-4141
(870) 239-7000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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