Individual
AMANDA G. CHISUM-PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
923 LEXINGTON AVE, FORT SMITH, AR 72901-4943
(479) 709-7350
(479) 709-7355
Mailing address
PO BOX 402330, ATLANTA, GA 30384-2330
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-5310
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166054001
—
AR
05
—
200117300A
—
OK
Enumeration date
08/06/2007
Last updated
03/28/2012
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