Individual
JANET LORENE CARMACK-CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 W KINGSHIGHWAY, PARAGOULD, AR 72450-4143
(870) 239-5437
(870) 239-4211
Mailing address
1204 W KINGSHIGHWAY, PARAGOULD, AR 72450-4143
(870) 239-5437
(870) 239-4211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C7735
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121765001
—
AR
01
—
55711
BLUE CROSS
AR
Enumeration date
12/05/2006
Last updated
11/21/2011
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