Individual
MATTISON GRACE FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 697-6137
Mailing address
4225 TREE HOUSE DR, CONWAY, AR 72034-8273
(501) 697-6137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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