Provider First Line Business Practice Location Address:
704 WEST GROVE
Provider Second Line Business Practice Location Address:
SUITE 2, GEORGE W. SMITH MD
Provider Business Practice Location Address City Name:
EL DORADO
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-862-7661
Provider Business Practice Location Address Fax Number:
870-863-6903
Provider Enumeration Date:
01/18/2006