Organization
CARLTON H. BURGE, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON H BURGE (OWNER)
(501) 224-6888
Entity
Organization
Contact information
Practice address
1 INNWOOD CIR, LITTLE ROCK, AR 72211-2447
(501) 224-6888
(501) 224-6889
Mailing address
1 INNWOOD CIR, STE 103, LITTLE ROCK, AR 72211-2447
(501) 224-6888
(501) 224-6889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0608P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160432719
—
AR
Enumeration date
02/03/2009
Last updated
02/04/2009
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