# C. G. MELTON, M.D.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OB-GYN Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205950326
- **Authorized official:** DR. CLINTON G. MELTON MD (PRESIDENT)
- **Authorized official phone:** (870) 698-0300

## Contact information

- **Practice address:** 305 VIRGINIA DR, BATESVILLE, AR 72501-7337
- **Practice address phone:** (870) 698-0300
- **Practice address fax:** (870) 698-2924
- **Mailing address:** PO BOX 2733, BATESVILLE, AR 72503-2733
- **Mailing address phone:** (870) 698-0300
- **Mailing address fax:** (870) 698-2924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C-5164 | AR | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 10/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110292002 | — | AR |