Individual
AMANDA L MCMELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-17363
AR
Other
Enumeration date
03/28/2022
Last updated
10/09/2025
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