MEDICARE: MRS. MARY J SEARCY MD

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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	C-5822	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730155284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY J SEARCY MD

Provider Business Mailing Address
First Line	:	PO BOX 241125
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-0003
Country	:	US
Telephone Number	:	501-529-7355
Fax Number	:

Provider Business Practice Location Address
First Line	:	BAPTIST HOSPITAL
Second Line	:	9601 INTERSTATE 630
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7299
Country	:	US
Telephone Number	:	501-372-7140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	04/19/2021

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