Individual
CAROL W CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 SAINT VINCENT CIR, STE 200, LITTLE ROCK, AR 72205-5412
(501) 661-1123
(501) 661-0046
Mailing address
5 SAINT VINCENT CIR, STE 200, LITTLE ROCK, AR 72205-5412
(501) 661-1123
(501) 661-0046
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C4804
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14216000000
QUAL CHOICCOFAR
—
01
—
50981
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/20/2005
Last updated
11/05/2007
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