| Pediatric Specialty Care | |
|
413 W Tyler Ave West Memphis AR 72301-4149 | |
| (870) 733-1200 | |
| (870) 732-3269 |
| Full Name | Pediatric Specialty Care |
|---|---|
| Speciality | Counselor |
| Location | 413 W Tyler Ave, West Memphis, Arkansas |
| Authorized Official Name and Position | Holly Allgood (BILLING SPECIALIST) |
| Authorized Official Contact | 8708190232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Specialty Care 3012 Turman Dr Jonesboro AR 72404-8998 Ph: (870) 819-0200 | Pediatric Specialty Care 413 W Tyler Ave West Memphis AR 72301-4149 Ph: (870) 733-1200 |
| NPI Number | 1861525826 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861525826 | NPI | - | NPPES |
| 160783526 | Medicaid | AR | |
| 5C082 | Other | AR | BCBS |
| 160823742 | Medicaid | AR | |
| 161357724 | Medicaid | AR |
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