Individual
DR. CAROL A FOSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 N GARLAND AVE, FAYETTEVILLE, AR 72701-3110
(479) 575-6479
(479) 575-8793
Mailing address
2384 E GOLDEN OAKS DR, FAYETTEVILLE, AR 72703-3152
(479) 443-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N-5888
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15688
QUALCHOICE ID NUMBER
AR
Enumeration date
07/07/2006
Last updated
07/08/2007
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