Individual
RANDY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1815 MOUNT TABOR RD, CABOT, AR 72023-9506
(501) 658-1451
Mailing address
1815 MOUNT TABOR RD, CABOT, AR 72023-9506
(501) 658-1451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003839
AR
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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