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Individual

DEMETRIUS L PIGHEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
11600 KANIS RD STE 700, LITTLE ROCK, AR 72211-3780
(501) 680-7274
Mailing address
PO BOX 6345, SHERWOOD, AR 72124-6345
(501) 680-7274

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A003871
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A003871
LICENSE
AR
Enumeration date
04/15/2013
Last updated
09/17/2021
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