Organization
PHYSICIAN'S MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M MAXEY (OFFICE MANAGER)
50198205285
Entity
Organization
Contact information
Practice address
2520 W MAIN ST, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 985-7777
Mailing address
2520 W MAIN ST, JACKSONVILLE, AR 72076-4214
(501) 982-0528
(501) 985-7777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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