Individual
CULBER MACK SHOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 LINWOOD DR, SUITE A, PARAGOULD, AR 72450-7223
(870) 239-8503
(870) 240-2016
Mailing address
4000 LINWOOD DR, SUITE A, PARAGOULD, AR 72450-7223
(870) 239-8503
(870) 240-2016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5097
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102563001
—
AR
01
—
13494000040
QUALCHOICE
AR
Enumeration date
04/10/2006
Last updated
03/31/2015
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