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NPI Code Detail

MEDICARE: JAYTON A. LIM, M.D., P.A.

MEDICARE: JAYTON A. LIM, M.D., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistE0461AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780636225
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAYTON A. LIM, M.D., P.A.
Provider Business Mailing Address
First Line : 3214 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6162
Fax Number : 501-202-4099
Provider Business Practice Location Address
First Line : 11001 EXECUTIVE CENTER DR
Second Line : STE. 200
City : LITTLE ROCK
State : AR
Zip : 72211-4316
Country : US
Telephone Number : 501-812-7750
Fax Number : 501-812-7777
Authorized Official
Title or Position : OWNER
Name : DR. JAYTON A. LIM
Credential : M.D.
Telephone Number : 501-268-6162
Provider Enumeration Date : 05/16/2006
Last Update Date : 05/16/2008

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