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Organization
FOOT CARE OF NORTHEAST ARKANSAS PA
Active
Organization
FOOT CARE OF NORTHEAST ARKANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDY LLOYD CALDWELL DPM (PRESIDENT)
(870) 933-8900
Entity
Organization
Contact information
Practice address
406 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 933-8900
(870) 933-2611
Mailing address
PO BOX 1984, JONESBORO, AR 72403-1984
(870) 933-8900
(870) 933-2611
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AR163
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130246748
—
AR
05
—
167681748
—
AR
01
—
16888000000
QUALCHOICE
—
01
—
480034780
RR MEDICARE
—
01
—
5F963
MEDICARE
AR
01
—
5T344
BCBS
—
Enumeration date
02/27/2008
Last updated
08/28/2008
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