| Sage Health Arkansas Pllc | |
|
6929 Jfk Blvd Ste 108 North Little Rock AR 72116-5312 | |
| (501) 235-8295 | |
| Not Available |
| Full Name | Sage Health Arkansas Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6929 Jfk Blvd Ste 108, North Little Rock, Arkansas |
| Authorized Official Name and Position | Michael Davidson (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8663152626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Health Arkansas Pllc 807 Brook Hollow Rd Nashville TN 37205-1215 Ph: () - | Sage Health Arkansas Pllc 6929 Jfk Blvd Ste 108 North Little Rock AR 72116-5312 Ph: (501) 235-8295 |
| NPI Number | 1366153918 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 1658720297 |
|---|---|
| Medicare Enrollment ID | O20231208000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366153918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles Edward Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972617280 PECOS PAC ID: 1658362645 Enrollment ID: I20040519000852 |
| Provider Name | David D Liu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720073349 PECOS PAC ID: 3274579917 Enrollment ID: I20050701000848 |
| Provider Name | Mark J Malloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811921455 PECOS PAC ID: 5193751451 Enrollment ID: I20050709000055 |
| Provider Name | Chandra Dawn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891498879 PECOS PAC ID: 1951750512 Enrollment ID: I20231208000888 |
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