JEFFERSON HOSPITAL ASSOCIATION INC NPI 1669851929

NPI Information

JEFFERSON HOSPITAL ASSOCIATION, INC is an obstetrics gynecology in Pine Bluff, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JEFFERSON HOSPITAL ASSOCIATION, INC NPI is 1669851929. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Obgyn Associates Of South Arkansas.

The provider's business location address is:

1600 W 40TH AVE
PINE BLUFF, AR
ZIP 71603-301
Phone: (870) 541-7100

The provider's authorized official is Brian Thomas .
The authorized official title is Ceo and has the following contact phone number (870) 541-7100.

The CLIA number assigned to this NPI record is 04D0962244 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2015 and was last updated on 11/19/2020.

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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