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Organization

HEALTHY CONNECTIONS SPECIALTY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANA BUSH (CREDENTIALING SPECIALIST)
(479) 437-3449
Entity
Organization

Contact information

Practice address
900 MARTIN LUTHER KING BLVD STE 200, MALVERN, AR 72104-2217
(888) 710-8220
(866) 573-0761
Mailing address
PO BOX 1848, MENA, AR 71953-1841

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207RC0000X
Cardiovascular Disease Physician
207RI0011X
Interventional Cardiology Physician
213E00000X
Podiatrist
Primary

Other

Enumeration date
11/03/2020
Last updated
04/21/2023
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