| Shelby Medical, Inc. | |
|
11 Sherwood Ln Clarksville AR 72830-4500 | |
| (479) 213-2546 | |
| Not Available |
| Full Name | Shelby Medical, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 11 Sherwood Ln, Clarksville, Arkansas |
| Authorized Official Name and Position | Garrett Kuna (CEO) |
| Authorized Official Contact | 4792132546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Medical, Inc. 102 N 17th St Ozark AR 72949-2349 Ph: (479) 213-2546 | Shelby Medical, Inc. 11 Sherwood Ln Clarksville AR 72830-4500 Ph: (479) 213-2546 |
| NPI Number | 1699319558 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699319558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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