Full Potential

NPI #1346513637 in Alexander, Arkansas

Provider Information

NPI Number
1346513637
Entity Type
Organization
Organization Name
Full Potential
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
1032 SKYLINE DR
ZIP Code
72002-1749
Phone
(870) 814-5180

Authorized Official

Name
MS. WANDA NELSON
Title
BILLER
Phone
(501) 562-5400

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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