Individual
GREGORY ALLEN AITCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028
Mailing address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD13302
OR
2084P0800X
Psychiatry Physician
Primary
MD13302
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00024340000
BLUE CROSS
OR
05
—
277384
—
OR
Enumeration date
01/29/2008
Last updated
01/05/2010
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