Provider Demographics
NPI:1588698906
Name:PILLOW, JAMES HARGRAVES (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARGRAVES
Last Name:PILLOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 SHIRLEY HICKS DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-8852
Mailing Address - Country:US
Mailing Address - Phone:870-572-5996
Mailing Address - Fax:870-572-4471
Practice Address - Street 1:101 SHIRLEY HICKS DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-8852
Practice Address - Country:US
Practice Address - Phone:870-572-5996
Practice Address - Fax:870-572-4471
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-2770207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142765001Medicaid
ARH27720Medicare UPIN