SOUTHERN MEDICAL GROUP LLC NPI 1073544508

NPI Information

SOUTHERN MEDICAL GROUP LLC is a family medicine in Magnolia, AR. The provider is 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 is not limited by age, sex, organ system, or disease entity. SOUTHERN MEDICAL GROUP LLC NPI is 1073544508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 E STADIUM
MAGNOLIA, AR
ZIP 71753-032
Phone: (870) 234-5995
Fax: (870) 234-0278

The provider's authorized official is Jean Morris .
The authorized official title is Billing and has the following contact phone number (870) 234-5995.

The CLIA number assigned to this NPI record is 04D0991904 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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