Healthcare Provider Details

I. General information

NPI: 1376326934
Provider Name (Legal Business Name): CARTI CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 CARTI WAY
LITTLE ROCK AR
72205-6523
US

IV. Provider business mailing address

8901 CARTI WAY
LITTLE ROCK AR
72205-6523
US

V. Phone/Fax

Practice location:
  • Phone: 501-296-3475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE PAIGE CHELETTE
Title or Position: PROVISIONAL DIETITIAN
Credential:
Phone: 318-557-1639