Family Medicine Associates of Pine

NPI #1831130616 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1831130616
Entity Type: Organization
Organization Name: Family Medicine Associates of Pine
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 10, 2006
Last Updated: Dec 8, 2010

Practice Location

Address: 1801 W 40TH AVE
Address 2: SUITE 6A
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-6900
Phone: (870) 541-9373

Authorized Official

Name: MARY E FRAZIER
Title: MANAGER
Phone: (870) 541-9373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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