Provider First Line Business Practice Location Address:
CLARKSVILLE MEDICAL GROUP, PA
Provider Second Line Business Practice Location Address:
601 W MCKENNON ST
Provider Business Practice Location Address City Name:
CLARKSVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-754-8384
Provider Business Practice Location Address Fax Number:
479-754-7141
Provider Enumeration Date:
03/26/2019