Organization
ARKANSAS PAIN THERAPY MENA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ADAMS (OWNER)
(479) 234-4433
Entity
Organization
Contact information
Practice address
1102 CRESTWOOD CIR, MENA, AR 71953-5513
(479) 234-4433
(479) 234-4445
Mailing address
5601 CAPTAINS LN, WILMINGTON, NC 28409-3619
(910) 200-5238
(877) 296-5238
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
10/07/2024
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