Healthcare Provider Details

I. General information

NPI: 1629006382
Provider Name (Legal Business Name): SARA E MCBEE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3340 N COLLEGE AVE SUITE 5
FAYETTEVILLE AR
72703-3815
US

IV. Provider business mailing address

PO BOX 1907
FAYETTEVILLE AR
72702-1907
US

V. Phone/Fax

Practice location:
  • Phone: 479-443-3536
  • Fax: 479-443-3933
Mailing address:
  • Phone: 479-443-3536
  • Fax: 479-443-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN-7367
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: