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Individual

DR. FRED GEORGE SILVA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
047025
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047025
STATE OF GA MED. LICENSE
GA
01
E-6813
MEDICAL LICENSE
AR
Enumeration date
11/20/2007
Last updated
02/28/2014
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