| South Logan Family Practice | |
|
1808 East Main Booneville AR 72927-1373 | |
| (479) 675-2228 | |
| (479) 675-2274 |
| Full Name | South Logan Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1808 East Main, Booneville, Arkansas |
| Authorized Official Name and Position | Clarence Jay Arendall (MEDICAL DOCTOR) |
| Authorized Official Contact | 4796752228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Logan Family Practice Po Box 1373 Booneville AR 72927-0301 Ph: (479) 675-2228 | South Logan Family Practice 1808 East Main Booneville AR 72927-1373 Ph: (479) 675-2228 |
| NPI Number | 1447461900 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447461900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3514 (Arkansas) | Primary |
Cooper Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 N Kennedy Ave Rm 1, Booneville, AR 72927 Phone: 479-274-2000 Fax: 479-274-2194 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 870-895-2164 | |
Mercy Hospital Booneville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 Daniel Avenue, Booneville, AR 72927 Phone: 479-675-2800 | |
Noel Health & Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1069 S Sharpe Ave, Booneville, AR 72927 Phone: 479-675-0516 Fax: 479-675-1391 | |
Eccles Pediatric & Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 W Main St, Suite 3, Booneville, AR 72927 Phone: 479-675-3300 Fax: 479-675-3301 | |
Western Arkansas Primary Care 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1069 S Sharpe Ave, Booneville, AR 72927 Phone: 479-965-8888 Fax: 479-965-8889 |