NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1295368587 |   |   |   | AMC MEDICAL CLINIC I LLC | 4196 HIGHWAY 62 412 STE A | HARDY | AR | 725428002 |
1033763776 | FORT | TINA | MARIE |   | 4196 HIGHWAY 62 412 STE A | HARDY | AR | 725428002 |
1770060147 | SMITH | PATRICIA | G |   | 4196 HIGHWAY 62 412 STE A | HARDY | AR | 725428002 |