Individual
DR. CHARLES WILSON SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W. MARKHAM ST, #783, LITTLE ROCK, AR 72205
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3995
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116085001
—
AR
Enumeration date
05/19/2006
Last updated
11/12/2020
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