Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Other names
Family Health Assoc of Southeast AR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN JACKSON CFO (CHIEF FINANCIAL OFFICER)
(870) 541-7141
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE STE 6A, PINE BLUFF, AR 71603-6963
(870) 541-9373
(870) 541-0109
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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