Healthcare Provider Details

I. General information

NPI: 1750488953
Provider Name (Legal Business Name): NORTH CABOT FAMILY MEDICINE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 N 2ND ST
CABOT AR
72023-2209
US

IV. Provider business mailing address

PO BOX 1265
CABOT AR
72023-1265
US

V. Phone/Fax

Practice location:
  • Phone: 501-843-5757
  • Fax: 501-843-5700
Mailing address:
  • Phone: 501-843-5757
  • Fax: 501-843-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. FLOYD A SHURLEY JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 501-843-5757