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SOUTH POINT HEALTHCARE PC NPI 1013311976


NPI Information

NPI: 1013311976
Provider Name: SOUTH POINT HEALTHCARE PC

Doing Business As: SOUTH POINT DERMATOLOGY

Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
613 THOMPSON AVE
EL DORADO, AR
ZIP 71730
Phone: (870) 881-8558
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SOUTH POINT HEALTHCARE PC is an acute care nurse practitioner in El Dorado, AR. SOUTH POINT HEALTHCARE PC NPI is 1013311976. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South Point Dermatology.

The provider's business location address is:

613 THOMPSON AVE
EL DORADO, AR
ZIP 71730-557
Phone: (870) 881-8558

The provider's authorized official is David Jernigan .
The authorized official title is Adminstrator and has the following contact phone number (870) 881-8558.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 2/11/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2363LA2100XNurse PractitionerAcute CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.