Organization
C. G. MELTON, M.D.,P.A.
Active
Other names
OB-GYN Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON G. MELTON MD (PRESIDENT)
(870) 698-0300
Entity
Organization
Contact information
Practice address
305 VIRGINIA DR, BATESVILLE, AR 72501-7337
(870) 698-0300
(870) 698-2924
Mailing address
PO BOX 2733, BATESVILLE, AR 72503-2733
(870) 698-0300
(870) 698-2924
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C-5164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110292002
—
AR
Enumeration date
03/16/2007
Last updated
10/01/2008
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