Healthcare Provider Details

I. General information

NPI: 1679002851
Provider Name (Legal Business Name): GENERAL EMERGENCY PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 06/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MORROW ST N
MENA AR
71953-2516
US

IV. Provider business mailing address

11711 HERMITAGE RD STE 1
LITTLE ROCK AR
72211-3700
US

V. Phone/Fax

Practice location:
  • Phone: 479-394-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRIS SESSIONS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 501-313-4271