Individual
JAMES EVERITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5720 W MARKHAM ST, LITTLE ROCK, AR 72205-3328
(501) 805-2895
Mailing address
3200 MCKENSIE DR, BENTON, AR 72015-4956
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OT-A738
AR
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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