Individual
DR. LADONNA DICHELLE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 N MAIN ST, WARREN, AR 71671-2719
(870) 226-2112
(870) 226-2987
Mailing address
302 N MAIN ST, WARREN, AR 71671-2719
(870) 226-2112
(870) 226-2987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1823
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134937001
—
AR
Enumeration date
03/15/2006
Last updated
05/16/2019
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