Individual
MS. PHYLLIS ANN CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
BAPTIST HEALTH MEDICAL CENTER-HEBER SPRINGS, 2319 HIGHWAY 110 WEST, HEBER SPRINGS, AR 72543
(501) 206-3257
Mailing address
3800 HIGHWAY 287, CLEVELAND, AR 72030-9555
(501) 669-2292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
765
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X263
MNT PROVIDER
AR
Enumeration date
06/27/2006
Last updated
07/08/2007
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