| Modern Medicine Pllc | |
|
350 E Millsap Rd Fayetteville AR 72703-4098 | |
| (479) 439-8020 | |
| (479) 439-8022 |
| Full Name | Modern Medicine Pllc |
|---|---|
| Speciality | General Practice |
| Location | 350 E Millsap Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Lonnie Joseph Parker (SOLE MEMBER) |
| Authorized Official Contact | 8708267500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Medicine Pllc 350 E Millsap Rd Fayetteville AR 72703-4098 Ph: (479) 439-8020 | Modern Medicine Pllc 350 E Millsap Rd Fayetteville AR 72703-4098 Ph: (479) 439-8020 |
| NPI Number | 1144561390 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144561390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E1887 (Arkansas) | Primary |
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