Organization
AMMC PHYSICIAN SERVICES, INC
Active
Other names
Paragould Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN G JACKSON (SEC/TREASURER)
(870) 239-7000
Entity
Organization
Contact information
Practice address
1000 W KINGSHIGHWAY STE 9, PARAGOULD, AR 72450-4197
(870) 239-8450
(870) 239-8454
Mailing address
1000 W KINGSHIGHWAY STE 9, PARAGOULD, AR 72450-4197
(870) 239-8450
(870) 239-8454
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R3227
AR
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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