NORTHEAST ARKANSAS CLINIC PA NPI 1376517177

NPI Information

NORTHEAST ARKANSAS CLINIC, PA is a multi-specialty clinic center in Jonesboro, AR. NORTHEAST ARKANSAS CLINIC, PA NPI is 1376517177. The provider is registered as an organization entity type.
The provider Is Doing Business As Nea Clinic.

The provider's business location address is:

1835 GRANT AVE.
JONESBORO, AR
ZIP 72401
Phone: (870) 934-5101
Fax: (870) 932-3608

The provider's authorized official is Errol Scot Davis .
The authorized official title is Cfo and has the following contact phone number (870) 934-5803.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 4/5/2010.

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:

Other Identifiers

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