Doctor Name: | DR. CAROL A CHANEY |
NPI Number: | 1679649214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ARKANSASC4803 |
Business Practice Address: | 701 N Walnut St Harrison, AR - 72601 |
Business Phone Number: | 8707417211 |
Business Fax Number: | 8707418424 |
Mailing Address: | 701 N Walnut St, HARRISON |
State: | AR |
Postal Code: | 72601 |
Phone Number: | 8707417211 |
Fax Number: | 8707418424 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ARKANSASC4803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |