Individual
CONCETTA WHITLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2909
(479) 229-8000
(479) 477-3925
Mailing address
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2909
(479) 229-8000
(479) 477-3925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PT2017-031
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2017-031
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
05/19/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us