Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2007-01-11
- Last updated
- 2020-08-22
Specialties
Licenses
- License AR
- 704
Location
- Practice location
- 450 S 9TH AVE
- City
- PIGGOTT AR
- Postal code
- 724542501
- Phone
- 870-598-2291
Organization contact
- Name
- GLENDA SPICER
- Title
- ADMINISTRATOR
- Phone
- 8705982291
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.