Most Relevant Information
Provider Data
| NPI Number: | 1003019597 |
| Provider Name: | ERIC WILLIAM MCGILL MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4253 N CROSSOVER RD
FAYETTEVILLE
AR
727034593
Practice Location Phone/Fax
| Phone: | 4794437105 |
| Fax: | 4794432519 |
Provider Mailing Location
4253 N CROSSOVER RD
FAYETTEVILLE
AR
727034593
Provider Mailing Phone/Fax
| Phone: | 4795215731 |
| Fax: | 4795216520 |