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Mid-south Renal Clinic, Plc
Specialist in Marion, Arkansas
NPI 1093724346

Mid-south Renal Clinic, Plc is a Specialist based in Marion, AR. Mid-south Renal Clinic, Plc practices in Marion, AR. The NPI Number for Mid-south Renal Clinic, Plc is 1093724346 and holds a License No. (Arkansas).

The current practice location address for Mid-south Renal Clinic, Plc is 1120 State Highway 77 Ste 1, Marion, AR and can be reached out via phone at 870-733-1177 and via fax at 870-702-6128.

Location: 1120 State Highway 77 Ste 1, Marion, AR, 72364-0055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093724346
Provider Name
Mid-south Renal Clinic, Plc
Credential
Provider Entity Type
Organization
Address
1120 State Highway 77 Ste 1, Marion, AR, 72364-0055
Phone Number
870-733-1177
Fax Number
870-702-6128
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110217316 01 RAILROAD MEDICARE
5K483 01 AR BLUE CROSS BLUE SHIELD
159373002 05 AR
3154566 01 TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1120 State Highway 77 Ste 1
City
Marion
State
Arkansas
Zip
72364-9046
Phone Number
870-733-1177
Fax Number
870-702-6128
person
Provider Business Mailing Address Details
Address
1120 State Highway 77 Ste 1
City
Marion
State
Arkansas
Zip
72364-9046
Phone Number
870-733-1177
Fax Number
870-702-6128
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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