Organization
SURGEONS OF SOUTH ARKANSAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D MABRY MD (PRES)
(870) 535-8280
Entity
Organization
Contact information
Practice address
1801 W 40TH AVE, STE 7B, PINE BLUFF, AR 71603-6900
(870) 535-8280
Mailing address
1801 W 40TH AVE, STE 7B, PINE BLUFF, AR 71603-6900
(870) 535-8280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C4953
AR
Other
Enumeration date
04/21/2006
Last updated
08/22/2020
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