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NPI Code Detail

MEDICARE: MR. CHRISTOPHER CHARLES CARLIN CRNA

MEDICARE: MR. CHRISTOPHER CHARLES CARLIN CRNA
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
1367500000XCertified Registered Nurse AnesthetistC01306AR

General Provider Information

NPI Number : 1447248737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER CHARLES CARLIN CRNA
Provider Business Mailing Address
First Line : 2010 HEMME RD
Second Line :
City : STUTTGART
State : AR
Zip : 72160-2390
Country : US
Telephone Number : 501-352-7262
Fax Number :
Provider Business Practice Location Address
First Line : 11401 INTERSTATE 30
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-7042
Country : US
Telephone Number : 501-455-7100
Fax Number : 501-455-7399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 08/21/2014

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Directions to “ MR. CHRISTOPHER CHARLES CARLIN CRNA” Practice Location

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