Individual
CARLA MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 OLD BURR RD, WARM SPRINGS, AR 72478-9077
(870) 647-1400
(870) 647-2337
Mailing address
1033 OLD BURR RD, WARM SPRINGS, AR 72478-9077
(870) 647-1400
(870) 647-2337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
17100000X
AR
Enumeration date
05/14/2014
Last updated
05/14/2014
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