Surgeons Of South Arkansas, Pa in Pine Bluff - Surgery

Surgeons Of South Arkansas, Pa - NPI 1952367625

Surgeons Of South Arkansas, Pa is a Surgery in Pine Bluff, Arkansas. Surgeons Of South Arkansas, Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Surgeons Of South Arkansas, Pa is 1952367625. The last update date is 2020-08-22.

Surgeons Of South Arkansas, Pa's current location address is 1801 W 40th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705358280. The mailing address for Surgeons Of South Arkansas, Pa is 1801 W 40th Ave, Pine Bluff, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Surgeons Of South Arkansas, Pa
Address 1801 W 40th Ave, Pine Bluff, Arkansas
Phone Number 8705358280
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRES
Authorized Official Name Mabry D Charles
Credentials MD
Telephone Number 8705358280

NPI Number Detail

NPI Number 1952367625
Provider Enumeration Date 2006-04-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1801 W 40th Ave
City Pine Bluff
State Arkansas (AR)
Post Code 716036900
Phone Number 8705358280
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No C4953
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Surgeons Of South Arkansas, Pa

What is the unique provider identifier assigned to Surgeons Of South Arkansas, Pa?

The Surgeons Of South Arkansas, Pa has been issued the NPI (National Provider Identifier) 1952367625 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Surgeons Of South Arkansas, Pa's facilities are geographically located?

The facilities of Surgeons Of South Arkansas, Pa are physically situated at the following location: 1801 W 40Th Ave, Pine Bluff, AR, 716036900.

What is the Surgeons Of South Arkansas, Pa's area of specialization and corresponding taxonomy classification?

The Surgeons Of South Arkansas, Pa's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952367625 to Surgeons Of South Arkansas, Pa?

The Centers for Medicare & Medicaid Services originally issued the 1952367625 to Surgeons Of South Arkansas, Pa on 2006-04-21.

When was the information related to Surgeons Of South Arkansas, Pa most recently updated or refreshed?

The details pertaining to the Surgeons Of South Arkansas, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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