Individual
BRANDON DALE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
195 HOSPITAL DR STE A, CHEROKEE VILLAGE, AR 72529-7330
(870) 257-6060
Mailing address
PO BOX 39, FRANKLIN, AR 72536-0039
(870) 373-2209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214705
AR
Other
Enumeration date
08/05/2021
Last updated
01/03/2024
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