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Individual

DR. EDDY LLOYD CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
406 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 933-8900
(870) 933-2611
Mailing address
PO BOX 1984, JONESBORO, AR 72403-1984
(870) 933-8900
(870) 933-2611

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AR-163
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130109717
AR
01
130246748
CLINIC NUMBER
AR
01
167681748
MEDICAID CLINIC
AR
01
480034780
RR MEDICARE
AR
01
5T344F963
MEDICARE CLLINIC
AR
Enumeration date
08/15/2005
Last updated
11/02/2011
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