Individual
DR. CATHERINE VADIME NETCHVOLODOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3050 CORDER DR, CORINTH, MS 38834-6210
(662) 284-9995
(662) 284-9920
Mailing address
9 BERWYN DR, LITTLE ROCK, AR 72227-2201
(501) 221-7087
(662) 284-9920
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R-4121
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118448001
—
AR
01
—
19787
MS STATE MEDICAL LICENSE
MS
01
—
R4121
ARKANSAS STATE MEDICAL LICENSE
AR
Enumeration date
07/08/2008
Last updated
07/08/2008
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