| Carlton H. Burge, P.a | |
|
1 Innwood Cir Little Rock AR 72211-2447 | |
| (501) 224-6888 | |
| (501) 224-6889 |
| Full Name | Carlton H. Burge, P.a |
|---|---|
| Speciality | Psychologist |
| Location | 1 Innwood Cir, Little Rock, Arkansas |
| Authorized Official Name and Position | Carlton H Burge (OWNER) |
| Authorized Official Contact | 5012246888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlton H. Burge, P.a 1 Innwood Cir Ste 103 Little Rock AR 72211-2447 Ph: (501) 224-6888 | Carlton H. Burge, P.a 1 Innwood Cir Little Rock AR 72211-2447 Ph: (501) 224-6888 |
| NPI Number | 1730327461 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730327461 | NPI | - | NPPES |
| 160432719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0608P (Arkansas) | Primary |
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