MEDICARE: PHYSICIANS MEDICAL GROUP PLC

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	261QR1300X	Rural Health Clinic/Center	C4237	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	:	1942226212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS MEDICAL GROUP PLC

Provider Business Mailing Address
First Line	:	PO BOX 489
Second Line	:
City	:	CLINTON
State	:	AR
Zip	:	72031-0489
Country	:	US
Telephone Number	:	501-745-7161
Fax Number	:	501-745-8714

Provider Business Practice Location Address
First Line	:	145 SHAKERAG RD
Second Line	:
City	:	CLINTON
State	:	AR
Zip	:	72031-6678
Country	:	US
Telephone Number	:	501-745-7161
Fax Number	:	501-745-8714

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HARRY DEE STARNES
Credential	:	M.D.
Telephone Number	:	501-745-7161

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/12/2008

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Directions to “PHYSICIANS MEDICAL GROUP PLC ” Practice Location

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