Individual
GEORGE O. PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 CRESTVIEW PLZ, JACKSONVILLE, AR 72076-4341
(501) 985-0616
(501) 985-0715
Mailing address
21 CRESTVIEW PLZ, JACKSONVILLE, AR 72076-4341
(501) 985-0616
(501) 985-0715
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C4362
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109545001
—
AR
Enumeration date
02/22/2006
Last updated
02/24/2010
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