Individual
DR. MISTIE A CHARLEMAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-8767
(870) 541-8761
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 936-2038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-11036
AR
207R00000X
Internal Medicine Physician
MD205733
LA
208M00000X
Hospitalist Physician
E-11036
AR
Other
Enumeration date
08/25/2009
Last updated
07/29/2024
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