Individual
DR. CHARLES CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55A SOUTH BROADVIEW, GREENBRIER, AR 72058-9475
(501) 679-4030
(501) 679-4037
Mailing address
PO BOX 596, GREENBRIER, AR 72058-0596
(501) 679-4030
(501) 679-4037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7608
AR
207Q00000X
Family Medicine Physician
C7658
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115622001
—
AR
01
—
13149000000
QUAL CHOICE
AR
01
—
710781138
TAX ID
—
Enumeration date
08/31/2006
Last updated
11/01/2012
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