Individual
MELANIE DENISE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8201 CANTRELL RD, STE 265, LITTLE ROCK, AR 72227-2453
(501) 225-3333
(501) 225-3338
Mailing address
8201 CANTRELL RD, STE 265, LITTLE ROCK, AR 72227-2453
(501) 225-3333
(501) 225-3338
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
E7510
AR
208200000X
Plastic Surgery Physician
TRN9979
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
E-7510
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195170001
—
AR
Enumeration date
07/15/2007
Last updated
08/29/2013
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