Provider First Line Business Practice Location Address:
1001 WEST PARKER ROAD
Provider Second Line Business Practice Location Address:
SUITE B FIRST CARE - PARKER ROAD
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-972-8181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2006