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Individual

DEY'MONET CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
227 BECKWOOD DR, LITTLE ROCK, AR 72205-2615
(870) 788-7194
Mailing address
227 BECKWOOD DR, LITTLE ROCK, AR 72205-2615
(870) 788-7194

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
R086824
AR
163W00000X
Registered Nurse
Primary
R086824
AR
2083P0901X
Public Health & General Preventive Medicine Physician
R086824
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R086824
ARSBN
AR
Enumeration date
12/27/2017
Last updated
06/11/2019
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