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Individual

DR. C DON GREENWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738
Mailing address
409 N UNIVERSITY AVE, LITTLE ROCK, AR 72205-3108
(501) 664-6980
(501) 664-4738

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C4718
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104495001
AR
Enumeration date
06/09/2005
Last updated
07/13/2016
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