Individual
MR. MICHEAL DOUGLAS CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
136 BLOCK ST, MARION, AR 72364-1956
(870) 559-2314
(870) 559-2392
Mailing address
136 BLOCK ST, MARION, AR 72364-1956
(870) 559-2314
(870) 559-2392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03688
AR
Other
Enumeration date
11/02/2011
Last updated
06/11/2014
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