Healthcare Provider Details

I. General information

NPI: 1396280780
Provider Name (Legal Business Name): ARTHRITIS AND RHEUMATISM ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2016
Last Update Date: 12/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 HILLPARK COVE
JONESBORO AR
72401
US

IV. Provider business mailing address

2231 HILLPARK COVE
JONESBORO AR
72401
US

V. Phone/Fax

Practice location:
  • Phone: 870-333-2721
  • Fax: 870-333-2720
Mailing address:
  • Phone: 870-333-2721
  • Fax: 870-333-2720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH CHRESTMAN
Title or Position: AGENT
Credential:
Phone: 870-933-8517