| Med Sources, Ltd. | |
|
6 Southpark Shopping Ctr Nashville AR 71852-3307 | |
| (870) 451-9664 | |
| (870) 451-9672 |
| Full Name | Med Sources, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Southpark Shopping Ctr, Nashville, Arkansas |
| Authorized Official Name and Position | James D White (CFO) |
| Authorized Official Contact | 8883021044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Sources, Ltd. Po Box 30071 New Orleans LA 70190-0071 Ph: (888) 302-1044 | Med Sources, Ltd. 6 Southpark Shopping Ctr Nashville AR 71852-3307 Ph: (870) 451-9664 |
| NPI Number | 1528070059 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528070059 | NPI | - | NPPES |
| 167966002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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