Individual
MR. HERSHEL MACK MACHEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7000
Mailing address
266 COUNTY ROAD 7598, JONESBORO, AR 72401-8588
(870) 934-9424
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
2005035297
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
C001436
AR
Other
Enumeration date
05/18/2007
Last updated
07/16/2021
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