Jefferson Pulm Cc PA
NPI #1396954228 in Monticello, Arkansas
Provider Information
- NPI Number
- 1396954228
- Entity Type
- Organization
- Organization Name
- Jefferson Pulm Cc PA
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 606 ROBERTS DRIVE
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655
- Phone
- (870) 850-6053
Authorized Official
- Name
- TANYA M SIMPSON
- Title
- PRESIDENT
- Phone
- (870) 850-6053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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