| Saline Physician Services, Llc | |
|
319 Bryant Ave Suite 1 Bryant AR 72022-3815 | |
| (501) 653-0353 | |
| (501) 653-0347 |
| Full Name | Saline Physician Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 319 Bryant Ave, Bryant, Arkansas |
| Authorized Official Name and Position | Kimberly A Titsworth (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 5017766093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saline Physician Services, Llc Po Box 1615 Searcy AR 72145-1615 Ph: (501) 653-0353 | Saline Physician Services, Llc 319 Bryant Ave Suite 1 Bryant AR 72022-3815 Ph: (501) 653-0353 |
| NPI Number | 1144559287 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144559287 | NPI | - | NPPES |
| 182164002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Arkansas) | Primary |
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