National Provider Identifier Database

FAITH AND FAMILY MEDICAL PROVIDERS PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

FAITH AND FAMILY MEDICAL PROVIDERS PLLC
363 HIGHWAY 371 S
MAGNOLIA, AR71753-8960
Phone: 573-202-4070
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Ambulatory Family Planning Facility 261QA0005X
Family Planning, Non-Surgical 261QF0050X

* Indicates primary specialty

NPI Profile & details for FAITH AND FAMILY MEDICAL PROVIDERS PLLC

NPI Number 1720723513
Legal business name
LBN
FAITH AND FAMILY MEDICAL PROVIDERS PLLC
Authorized official JACQUELYN BLADDICK - (HUMAN RESOURCES)
Entity Organization
Organization subpart No
Enumeration date 05/05/2022
Last updated 07/11/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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