Southern Medical Group Llc in Magnolia - Internal Medicine
Southern Medical Group Llc - NPI 1073544508
Southern Medical Group Llc is a Internal Medicine in Magnolia, Arkansas. Southern Medical Group Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southern Medical Group Llc is 1073544508. The last update date is 2012-06-19.
Southern Medical Group Llc's current location address is 211 E Stadium, Magnolia, Arkansas. You can contact this provider via phone number 8702345995 and fax number 8702340278. The mailing address for Southern Medical Group Llc is 211 E Stadium, Magnolia, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Medical Group Llc |
|---|---|
| Address | 211 E Stadium, Magnolia, Arkansas |
| Phone Number | 8702345995 |
| Fax Number | 8702340278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING |
|---|---|
| Authorized Official Name | Morris Jean |
| Credentials | BILLING |
| Telephone Number | 8702345995 |
NPI Number Detail
| NPI Number | 1073544508 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
| Address | 211 E Stadium |
|---|---|
| City | Magnolia |
| State | Arkansas (AR) |
| Post Code | 717532032 |
| Phone Number | 8702345995 |
| Fax Number | 8702340278 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code issued to Southern Medical Group Llc by the Centers for Medicare & Medicaid Services?
The Southern Medical Group Llc has been assigned the NPI (National Provider Identifier) 1073544508 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Southern Medical Group Llc is located?
The Southern Medical Group Llc is situated at the following address: 211 E Stadium, Magnolia, AR, 717532032.
What is Southern Medical Group Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern Medical Group Llc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073544508 to Southern Medical Group Llc?
The Southern Medical Group Llc received its 1073544508 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the Southern Medical Group Llc's details last updated?
The information pertaining to the Southern Medical Group Llc, including its address, specialty, and other details, was most recently updated on 2012-06-19.