Organization Name: | SALINE HEART GROUP, P.A. |
NPI Number: | 1477510220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA J NELMS (CREDENTIALING DEPT) |
Mailing Address: | 5 Medical Park Dr Suite 306 Benton |
State: | AR US |
Postal Code: | 720153729 |
Phone Number: | 5013154008 |
Fax Number: | 5013153411 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |