| Organization Name: | ARKANSAS CENTRAL PRIMARY CARE, PLLC |
| NPI Number: | 1396996740 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY DREW JACKSON (CLINIC ADMINISTRATOR) |
| Mailing Address: | 1300 Braden St. Jacksonville |
| State: | AR US |
| Postal Code: | 720763719 |
| Phone Number: | 5019855900 |
| Fax Number: | 5019856016 |
| NPI Enumeration Date: | 10/03/2008 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |