PHYSICIANS SURGERY CENTER LLC
Ambulatory Health at Division St, Blytheville, AR

License number
Arkansas AR4222
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MRS. CONSTANCE H SMITH M.D.
Title: CEO
Phone: (870) 762-1942
Address
Address
3327 S Division St, Blytheville, AR 72315
National Provider ID: 1114906393
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS SURGERY CENTER, LLC

208 N 5, Blytheville, AR 72315

Registration:
Dec 2, 2003
State ID:
800022543
Business type:
Limited Liability Company
Tax Preparers:
Constance H. Smith Md (Incorporator/Organizer),Kenneth B. Thomas (Tax Preparer)
Agent:
Marvin Childers,208 N 5, Blytheville, AR 72315 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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