Provider First Line Business Practice Location Address:
6263 HIGHWAY 49 S
Provider Second Line Business Practice Location Address:
AR KIDS PDC
Provider Business Practice Location Address City Name:
PARAGOULD
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72450-6093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-240-0444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2013