Individual
DR. JACEY TANNER GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 N RODNEY PARHAM RD STE 202, LITTLE ROCK, AR 72212
(501) 227-4323
(501) 227-4149
Mailing address
4200 N RODNEY PARHAM RD STE 202, LITTLE ROCK, AR 72212-2460
(501) 227-4323
(501) 227-4149
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-11347
AR
Other
Enumeration date
04/14/2014
Last updated
10/14/2021
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