| Wound Care Jj Ar Pa | |
|
404 Cascade Ln Cave Springs AR 72718-9430 | |
| (470) 685-8837 | |
| Not Available |
| Full Name | Wound Care Jj Ar Pa |
|---|---|
| Speciality | General Practice |
| Location | 404 Cascade Ln, Cave Springs, Arkansas |
| Authorized Official Name and Position | Joel Jones (OWNER) |
| Authorized Official Contact | 4796858836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Jj Ar Pa 404 Cascade Ln Cave Springs AR 72718-9430 Ph: (470) 685-8837 | Wound Care Jj Ar Pa 404 Cascade Ln Cave Springs AR 72718-9430 Ph: (470) 685-8837 |
| NPI Number | 1427833037 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2365887940 |
|---|---|
| Medicare Enrollment ID | O20240305003656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427833037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20040624000607 |
| Provider Name | Christopher Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700299138 PECOS PAC ID: 3274899406 Enrollment ID: I20171103002265 |