Individual
AMY GILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SOUTHWINDS RD STE 2, FARMINGTON, AR 72730-8652
(479) 300-6400
Mailing address
120 SOUTHWINDS RD STE 2, FARMINGTON, AR 72730-8652
(479) 300-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RTP-014741
AR
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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