Jimmy Darrell Bonner in Paragould - Family Medicine
Jimmy Darrell Bonner - NPI 1700845971
Jimmy Darrell Bonner is a Family Medicine in Paragould, Arkansas. Jimmy Darrell Bonner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jimmy Darrell Bonner is 1700845971. The last update date is 2007-07-16.
Jimmy Darrell Bonner's current location address is 630 W Court St, Paragould, Arkansas. You can contact this provider via phone number 8702368561 and fax number 8702369428. The mailing address for Jimmy Darrell Bonner is 630 W Court St, Paragould, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Darrell Bonner |
|---|---|
| Address | 630 W Court St, Paragould, Arkansas |
| Phone Number | 8702368561 |
| Fax Number | 8702369428 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700845971 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 630 W Court St |
|---|---|
| City | Paragould |
| State | Arkansas (AR) |
| Post Code | 724504247 |
| Phone Number | 8702368561 |
| Fax Number | 8702369428 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C4914 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Jimmy Darrell Bonner's unique identification number?
The Jimmy Darrell Bonner has been assigned the NPI (National Provider Identifier) Number 1700845971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jimmy Darrell Bonner's facilities are situated?
The facilities of Jimmy Darrell Bonner are physically located at the following address: 630 W Court St, Paragould, AR, 724504247.
What is the Jimmy Darrell Bonner's specialty and taxonomy code?
The Jimmy Darrell Bonner's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Jimmy Darrell Bonner receive the assignment of its 1700845971 from the Centers for Medicare & Medicaid Services?
The Jimmy Darrell Bonner was issued its 1700845971 by the Centers for Medicare & Medicaid Services on 2006-03-17.
As of what date was the information pertaining to Jimmy Darrell Bonner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jimmy Darrell Bonner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-16.
NPI Number: 1144225426
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