JACKIE COOMBE-MOORE, M.D.
Psychiatric at Hogan Ln, Conway, AR

License number
Arkansas C8291
Category
Psychiatric
Type
Psychiatry
Address
Address
680 Hogan Ln, Conway, AR 72034
Phone
(501) 505-8900
(501) 505-8902 (Fax)
National Provider ID: 1154489581
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JACKIE COOMBE-MOORE at bizstanding.com

Conway Psychiatric Center - Jackie Coombe-Moore MD

680 Hogan Ln, Conway, AR 72034

Categories:
Psychiatry Physicians
Phone:
(501) 505-8900 (Phone)

Jackie Coombe-Moore PA

680 Hogan Ln, Conway, AR 72034

Industry:
Health Practitioner's Office
Medical Directors:
Jackie Coombe-Moore (Medical Doctor, President, Principal, Psychiatry),Jo Ann Clay (Msn Cns Apn),Kim Dielmann (Medical Director)

JACKIE COOMBE-MOORE, PA

680.Hogan Ln, Conway, AR 72034

Doing business as:
CONWAY PSYCHIATRIC CENTER
Registration:
Mar 14, 2006
State ID:
800080074
Business type:
For Profit Corporation
Vice-Presidents:
Jackie Moore (Incorporator/Organizer),Les . Lamey (Tax Preparer),John W. Moore (Secretary),...
Agent:
Conway Psychiatric Center,680.Hogan Ln, Conway, AR 72034 (Physical)
Filled under act:
Dom Prof & Medical Corp; 155 of 1963 & 179 of 1961

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