Organization
JACKSONVILLE NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD SCHULTZ M.D. (CEO/OWNER)
(501) 985-1323
Entity
Organization
Contact information
Practice address
4020 RICHARDS RD, SUITE C, NORTH LITTLE ROCK, AR 72117-2650
(501) 985-1323
(501) 985-3229
Mailing address
PO BOX 875, NORTH LITTLE ROCK, AR 72115-0875
(501) 985-1323
(501) 985-3229
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E1201
AR
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
E1201
AR
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
E1201
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132333002
—
AR
Enumeration date
06/18/2008
Last updated
06/18/2008
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