Individual
JACQUELENE C CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
(870) 234-7676
(870) 562-2560
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-17354
AR
Other
Enumeration date
03/24/2011
Last updated
03/26/2024
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