Individual
JIMMY NORMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 SHAKE RAG RD, CLINTON, AR 72031-6629
(501) 303-3105
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 303-3105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2011156
AR
Other
Enumeration date
01/25/2017
Last updated
01/31/2024
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