C. E. CAMPBELL, JR MD PA
Medical Practice at Fulton St, Blytheville, AR

License number
Arkansas R1755
Category
Medical Practice
Type
Specialist
Owner
Name: LYNDA WHITE
Title: BILLING ADMINISTRATOR
Phone: (870) 763-0855
Address
Address
609 Fulton St, Blytheville, AR 72315
National Provider ID: 1104017227
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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C. E. CAMPBELL, JR., M.D., PA

609 Fulton St, Blytheville, AR

Status:
Inactive
Registration:
May 18, 1979
State ID:
100009719
Business type:
For Profit Corporation
Secretarys:
C E Campbell (President),Margaret Campbell (Secretary)
Agent:
C. E. Campbell, Jr., M.d,609 Fulton St, Blytheville, AR (Physical)
Filled under act:
Dom Bus & Medical Corp; 576 of 1965 & 179 of 1961

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