South Fork Health and Wellness LLC

NPI #1528731155 in Salem, Arkansas

Provider Information

NPI Number: 1528731155
Entity Type: Organization
Organization Name: South Fork Health and Wellness LLC
Primary Specialty: General Practice
Enumeration Date: Jul 29, 2021
Last Updated: Jul 29, 2021

Practice Location

Address: 105 PINTO PLACE
City: Salem
State: Arkansas
ZIP Code: 72576-7011
Phone: (870) 500-4225

Authorized Official

Name: JEFFREY SUMMERHILL, DO
Title: OWNER
Phone: (870) 500-4225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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