# CENTRAL ARKANSAS CARDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154342467
- **Authorized official:** TINA MARIE ETHERIDGE (BUSINESS MANAGER)
- **Authorized official phone:** (501) 758-3999

## Contact information

- **Practice address:** 4000 RICHARDS RD, SUITE A, NORTH LITTLE ROCK, AR 72117-2650
- **Practice address phone:** (501) 758-3999
- **Practice address fax:** (501) 758-8653
- **Mailing address:** 4000 RICHARDS RD, SUITE A, NORTH LITTLE ROCK, AR 72117-2650
- **Mailing address phone:** (501) 758-3999
- **Mailing address fax:** (501) 758-8653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020