Provider Demographics
NPI:1215586797
Name:ACHOR MANAGEMENT INC
Entity Type:Organization
Organization Name:ACHOR MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KALEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ACHOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-590-7018
Mailing Address - Street 1:PO BOX 13736
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-0736
Mailing Address - Country:US
Mailing Address - Phone:501-274-1130
Mailing Address - Fax:501-274-1131
Practice Address - Street 1:1900 CLUB MANOR DR STE 101A
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-7443
Practice Address - Country:US
Practice Address - Phone:501-274-1130
Practice Address - Fax:501-274-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-08
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty