Individual
DR. JAMES HENRY GOLLEHER SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Mailing address
1915 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-8175
(501) 268-8337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0000036591
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
16642
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2001014623
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26096
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26627
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
54240
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C4381
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18019
MEDICARE GROUP
AR
01
—
56822
MEDICARE PROFESSIONAL
AR
01
—
71044582830
QUALCHOICE
AR
Enumeration date
03/14/2006
Last updated
07/09/2007
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