# DERMAHEALING CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Defyne Med Spa and Weightloss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447705843
- **Authorized official:** KRISTEN MCDANIEL (OFFICE MANAGER)
- **Authorized official phone:** (870) 520-6241

## Contact information

- **Practice address:** 2217 WOODSPRINGS RD, SUITE A, JONESBORO, AR 72404-8072
- **Practice address phone:** (870) 520-6241
- **Practice address fax:** (870) 520-6254
- **Mailing address:** 2217 WOODSPRINGS RD, SUITE A, JONESBORO, AR 72404-8072
- **Mailing address phone:** (870) 520-6241
- **Mailing address fax:** (870) 520-6254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AR | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 08/16/2016