NPI 1508036146

Johnny L. Bowman

Organisation Exclusive Provider Organization Nashville, AR

Practice location

Address: 410 N Main St STE 3, Nashville, AR 71852-2000
Phone: (870) 845-3725
Fax: (870) 845-3322

Authorised official

Name: Shelly Perrin
Title: Secretary
Phone: (870) 845-3725

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2365 (AR)

Other Exclusive Provider Organization providers in Arkansas →

Registry record

NPI: 1508036146
Entity type: Organization
NPI issued: 11 Mar 2008
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.