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Organization
MARION MINOR MEDICAL LLC
Active
Organization
MARION MINOR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL D CHARLTON (APRN)
(870) 559-2314
Entity
Organization
Contact information
Practice address
136 BLOCK ST, MARION, AR 72364-1956
(870) 559-2314
(870) 559-2392
Mailing address
136 BLOCK ST, MARION, AR 72364-1956
(870) 559-2314
(870) 559-2392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/01/2014
Last updated
06/03/2015
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