Individual
CHARLES R CALDWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3343 SPRINGHILL DR, SUITE 1035, NORTH LITTLE ROCK, AR 72117-2929
(501) 975-7676
Mailing address
9501 BAPTIST HEALTH DR, SUITE 600 MEDICAL TOWERS II, LITTLE ROCK, AR 72205-6225
(501) 227-7596
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C8109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128458001
—
AR
Enumeration date
05/19/2006
Last updated
06/02/2015
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