Provider First Line Business Practice Location Address:
2204 E SULLENBERGER AVE
Provider Second Line Business Practice Location Address:
HOT SPRING COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
MALVERN
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72104-4806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-332-6974
Provider Business Practice Location Address Fax Number:
501-332-6989
Provider Enumeration Date:
08/09/2006