Southside Medical Clinic

NPI #1194937235 in Fort Smith, Arkansas

Provider Information

NPI Number
1194937235
Entity Type
Organization
Organization Name
Southside Medical Clinic
Primary Specialty
Internal Medicine
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
623 S 21ST ST
ZIP Code
72901-3914
Phone
(479) 441-1500

Authorized Official

Name
DR. THUYLINH PHAM, MD
Title
CEO
Phone
(870) 424-5079

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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