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Individual

DR. AMY L COLLINSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118
(501) 225-1400
(501) 225-1401
Mailing address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118
(501) 225-1400
(501) 225-1401

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2018-00213
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
79531
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-11085
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.202964
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME113275
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006741900
FL
Enumeration date
05/21/2008
Last updated
03/09/2018
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