Individual
JACKSON YATES GIRARDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4301 WEST MARKHAM, SLOT 584, LITTLE ROCK, AR 72205-7101
(501) 686-5356
Mailing address
4301 WEST MARKHAM ST, LITTLE ROCK, AR 72205
(205) 540-6888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E10260
AR
Other
Enumeration date
04/10/2015
Last updated
05/23/2017
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