Gpn Jacksonville LLC
NPI #1376812487 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1376812487
- Entity Type
- Organization
- Organization Name
- Gpn Jacksonville LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Dec 19, 2011
- Last Updated
- Aug 27, 2012
Practice Location
- Address
- 1400 BRADEN ST
- Address 2
- ER DEPT
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-3721
- Phone
- (501) 985-7315
Authorized Official
- Name
- SAMUEL D HUCKABEE
- Title
- CEO
- Phone
- (318) 629-5349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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