Southern Medical Group LLC

NPI #1073544508 in Magnolia, Arkansas

Provider Information

NPI Number
1073544508
Entity Type
Organization
Organization Name
Southern Medical Group LLC
Primary Specialty
Family Medicine
Enumeration Date
Jul 5, 2006
Last Updated
Jun 19, 2012

Practice Location

Address
211 E STADIUM
ZIP Code
71753-2032
Phone
(870) 234-5995

Authorized Official

Name
JEAN MORRIS, BILLING
Title
BILLING
Phone
(870) 234-5995

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Family Medicine

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