Last Name

First Name

Specialty

Clinic Name

Address

City

ST

Zip

Telephone

SHARP Effective Date

Graham

Jeffrey

Family Practice

Wagner Medical Clinic

434 Hwy. 18 Bypass

Manila

AR

72442

870-561-3300

8/17/07

Wagner

Tommy

Family Practice

Wagner Medical Clinic

434 Hwy. 18 Bypass

Manila

AR

72442

870-561-3300

8/15/05