Individual
CARLY MICHELLE FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 WEST MARKHAM, SLOT 584, LITTLE ROCK, AR 72205
(501) 686-6996
(501) 686-8586
Mailing address
4301 WEST MARKHAM, SLOT 584, G184, LITTLE ROCK, AR 72205
(501) 526-7485
(501) 686-8586
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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