MID-SOUTH RENAL CLINIC, PLC is a specialist in Marion, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID-SOUTH RENAL CLINIC, PLC NPI is 1093724346. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1120 STATE HIGHWAY 77 STE 1
MARION, AR
ZIP 72364-046
Phone: (870) 733-1177
Fax: (870) 702-6128
The provider's authorized official is Mashhud M. Mirza .
The authorized official title is President and has the following contact phone number (870) 733-1177.
The CLIA number assigned to this NPI record is 04D0978617 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/3/2013.