Organization
NORTHEAST ARK INT MED C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY M WILLIAMS CPCS (CREDENTIALING SERVICES COORDINATOR)
(870) 934-5117
Entity
Organization
Contact information
Practice address
311 E MATTHEWS AVE, JONESBORO, AR 72401
(870) 935-4150
Mailing address
1835 GRANT ST, JONESBORO, AR 72401
(870) 934-5117
(870) 932-3191
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
11/12/2007
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