Organization
TWC EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CALICOTT M.D. (EMERGENCY PHYSICIAN)
(501) 920-8556
Entity
Organization
Contact information
Practice address
14623 CHAMBERY DR, LITTLE ROCK, AR 72211-5586
(501) 920-8556
Mailing address
14623 CHAMBERY DR, LITTLE ROCK, AR 72211-5586
(501) 920-8556
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
C-8421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126098001
—
AR
Enumeration date
02/03/2015
Last updated
02/03/2015
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