MEDICARE: NORMAN R PLEDGER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R2917	AR

General Provider Information

NPI Number	:	1134338130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORMAN R PLEDGER MD PA

Provider Business Mailing Address
First Line	:	5207 E BROADWAY ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-4029
Country	:	US
Telephone Number	:	501-945-2033
Fax Number	:	501-945-2303

Provider Business Practice Location Address
First Line	:	5207 E BROADWAY ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-4029
Country	:	US
Telephone Number	:	501-945-2033
Fax Number	:	501-945-2303

Authorized Official
Title or Position	:	OFFICE MGR
Name	:	DONNA P NORWOOD
Credential	:
Telephone Number	:	501-945-2033

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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