| Family Medicine Of White Hall, P.a. | |
|
1600 W Holland Ave Suite 202 White Hall AR 71602-9636 | |
| (870) 850-8055 | |
| (870) 850-8056 |
| Full Name | Family Medicine Of White Hall, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 W Holland Ave, White Hall, Arkansas |
| Authorized Official Name and Position | Timmothy C Reece (OWNER) |
| Authorized Official Contact | 8708508055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of White Hall, P.a. 1600 W Holland Ave Suite 202 White Hall AR 71602-9636 Ph: (870) 850-8055 | Family Medicine Of White Hall, P.a. 1600 W Holland Ave Suite 202 White Hall AR 71602-9636 Ph: (870) 850-8055 |
| NPI Number | 1972730919 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Medicare PECOS PAC ID | 4385799691 |
|---|---|
| Medicare Enrollment ID | O20090909000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972730919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timmothy Reece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679794762 PECOS PAC ID: 6002986254 Enrollment ID: I20080530000691 |
| Provider Name | Estee Ann Sneed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386035525 PECOS PAC ID: 9537464797 Enrollment ID: I20160225001320 |
| Provider Name | Johnnie Marie Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992250450 PECOS PAC ID: 8527346337 Enrollment ID: I20170815001911 |
| Provider Name | Autumn Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760050132 PECOS PAC ID: 0042603300 Enrollment ID: I20220209000457 |
| Provider Name | Jamie Elizabeth Aud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528571148 PECOS PAC ID: 0840662102 Enrollment ID: I20230214002813 |
| Provider Name | Karla Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568925246 PECOS PAC ID: 3678936812 Enrollment ID: I20230906000137 |
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