Southern Medical Associates, Pllc

LBN: Southern Medical Associates, Pllc
Southern Medical Associates, Pllc is an health care organization with primary practice located at 6810 S Hazel St , Pine Bluff AR 71603-7828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Medical Associates, Pllc can be contacted via phone (870) 541-0342, or through Gordon, Anthony K via phone 87071816128506053.

Contact Information

Primary practice address
6810 S Hazel St Pine Bluff AR 71603-7828
Phone: (870) 541-0342
Fax: (870) 850-2946
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Anthony K Doctor of Medicine (MD)
Phone: 87071816128506053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E1629 Arkansas

Profile Details

NPI number 1578877205
LBN Legal business name Southern Medical Associates, Pllc
DBA Doing business as
Authorized official Gordon, Anthony K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2010
Last updated Feb 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578877205 NPPES
Arkansas MEDICAID 184916002

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