Prime Medical Group Pllc

NPI #1629677737 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1629677737
Entity Type: Organization
Organization Name: Prime Medical Group Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PRIME MEDICAL GROUP PLLC
Primary Specialty: Dermatology
Enumeration Date: Oct 20, 2020
Last Updated: Oct 20, 2020

Practice Location

Address: 1416 W 43RD AVE
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7010
Phone: (870) 535-7477

Authorized Official

Name: RAY KOHLER PARKER
Title: PHYSICIAN
Phone: (501) 227-8422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Individual Providers

Provider Name	Specialty	City
Jennifer Lynn Jacks, M.D.	Dermatology	Pine Bluff	AI Deep Dive
Daniel F Smith, MD	Dermatology	Pine Bluff	AI Deep Dive
DR. Sandra Marchese Johnson, MD	Dermatology	Fort Smith	AI Deep Dive
MR. Adam Stefan Stibich, MD	Dermatology	Hot Springs	AI Deep Dive

Organizations

Provider Name	Specialty	City
Jacks Dermatology P.a.	Dermatology	Pine Bluff	AI Deep Dive

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