BLACK RIVER ANESTHESIA, PLC
Nursing at Medical Center Dr, Pocahontas, AR

License number
Arkansas C00474 CRNA
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: SUSAN LYNN WYATT R.N.
Title: OFFICE MANAGER
Phone: (870) 972-8053
Address
Address 2
2801 Medical Center Dr, Pocahontas, AR 72455
PO Box 1288, Jonesboro, AR 72403
National Provider ID: 1124174271
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Black River Anesthesia, Plc

2801 Medical Ctr Dr, Pocahontas, AR 72455

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Principal:
Susan L. Wyatt (Principal)

BLACK RIVER ANESTHESIA, PLC

1210 W Country Clb Ter, Jonesboro, AR 72401

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 3, 2003
State ID:
800019164
Business type:
Limited Liability Company
Principals:
Robert Wyatt (Tax Preparer),Bob Wyatt (Principal)
Agent:
Robert C. Wyatt,1210 W Country Clb Ter, Jonesboro, AR 72401 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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