Individual
MISS MADISON ASHLEY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 ANDOVER CT, LITTLE ROCK, AR 72227-3987
(501) 904-5159
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-901
AR
Other
Enumeration date
02/14/2019
Last updated
05/19/2021
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