Crystal Little, MD | |
1500 W 42nd Ave, Pine Bluff, AR 71603-7018 | |
(870) 556-7000 | |
(870) 556-7019 |
Full Name | Crystal Little |
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Gender | Female |
Speciality | Pediatrics |
Location | 1500 W 42nd Ave, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821409996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-9336 (Arkansas) | Primary |
Entity Name | Mainline Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
Mailing Address | Practice Location Address |
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Crystal Little, MD 1 Childrens Way # 844, Little Rock, AR 72202-3500 Ph: (501) 364-2090 | Crystal Little, MD 1500 W 42nd Ave, Pine Bluff, AR 71603-7018 Ph: (870) 556-7000 |
Joann B Mays, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-534-6210 Fax: 870-534-8620 | |
Sevilay Dalabih, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 West 42nd Avenue, Pine Bluff, AR 71603 Phone: 870-556-7000 | |
Dr. John Alonzo Flowers Sr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 316 W 5th Ave, Pine Bluff, AR 71601 Phone: 870-534-1103 Fax: 870-534-1819 | |
Susan G Mcgeorge, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-534-6210 Fax: 870-534-8620 | |
Paul L Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Jesus Alberto Moreno Munoz, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 S Tennessee St, Jefferson Comprehensive Care System, Pine Bluff, AR 71601 Phone: 870-543-2380 |