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Contact Information

AMERIS OF ARKANSAS
1100 MEDICAL DRIVE
BLYTHEVILLE, AR72315
 Phone: 870-762-6725
 Fax: 870-762-8125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for AMERIS OF ARKANSAS · (Female)

NPI # 1609814185
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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