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NPI Code Detail

MEDICARE: MRS. SARAH BETH HOLCOMB M.D.

MEDICARE:  MRS. SARAH BETH HOLCOMB  M.D.
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
1207Q00000XFamily Medicine PhysicianE-8273AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E-8273OTHERARLICENSE

General Provider Information

NPI Number : 1043546930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH BETH HOLCOMB M.D.
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-435-3455
Fax Number : 501-483-3630
Provider Business Practice Location Address
First Line : 4625 JOHN F KENNEDY BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7310
Country : US
Telephone Number : 501-435-3455
Fax Number : 501-483-3630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 12/02/2024

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Directions to “ MRS. SARAH BETH HOLCOMB M.D.” Practice Location

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