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Individual

DR. SHANE AUSTIN MELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7000
Mailing address
6026 OAK MEADOWS RD, ALEXANDER, AR 72002-8408
(501) 847-4248

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-5122
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E-5122
MEDICAL LICENSE
AR
Enumeration date
03/30/2007
Last updated
07/08/2007
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