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Individual

DR. GINA LENORE MCNEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1122 MAIN STREET, SUITE 7, VILONIA, AR 72173-8902
(501) 796-2791
(501) 796-0148
Mailing address
1122 MAIN STREET, SUITE 7, VILONIA, AR 72173-8902
(501) 796-2791
(501) 377-9084

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-5175
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164728001
AR
Enumeration date
04/12/2007
Last updated
12/26/2014
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