Individual
MR. DANIEL MARION CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1609 W 40TH AVE, PINE BLUFF, AR 71603-6319
(870) 541-7111
Mailing address
1609 W 40TH AVE, PINE BLUFF, AR 71603-6319
(870) 541-7111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217648
AR
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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