Crowleys Ridge Family Practice LLC
NPI #1578676045 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1578676045
- Entity Type
- Organization
- Organization Name
- Crowleys Ridge Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 904 HOLIDAY DR
- Address 2
- SUITE 404
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-9183
- Phone
- (870) 630-1683
Authorized Official
- Name
- DAVID M COSS, M.D.
- Title
- OWNER
- Phone
- (870) 630-1683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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