Individual
MISS DIATA MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7000
(501) 686-5386
Mailing address
PO BOX 555, LONOKE, AR 72086-0555
(501) 676-5429
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
227930
AR
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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