Organization
WOUND CARE CONSULTANTS OF LITTLE ROCK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY VILLINES M.D. (PRESIDENT)
(501) 349-8030
Entity
Organization
Contact information
Practice address
106 S RODNEY PARHAM RD, LITTLE ROCK, AR 72205-4708
(501) 349-8030
(501) 353-2143
Mailing address
317 RIDGEWAY DR, LITTLE ROCK, AR 72205-4250
(501) 349-8030
(501) 353-2143
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
C4980
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102792001
—
AR
01
—
C4980
PHYSICIAN LICENSE NUMBER
AR
Enumeration date
05/11/2012
Last updated
05/11/2012
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