Organization
DICKSON ORTHOPAEDIC CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMELIA D MORGAN (OFFICE MANAGER)
(501) 225-6800
Entity
Organization
Contact information
Practice address
9601 LILE DR, #410, LITTLE ROCK, AR 72205-6321
(501) 225-6800
(501) 225-6898
Mailing address
9601 LILE DR, #410, LITTLE ROCK, AR 72205-6321
(501) 225-6800
(501) 225-6898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C4277
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14302000000
QUALCHOICE
AR
01
—
51359
BLUE CROSS AND BLUE SHIEL
AR
01
—
5427418
AETNA
AR
Enumeration date
10/25/2006
Last updated
08/22/2020
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