| Marion Minor Medical Llc | |
|
136 Block St Marion AR 72364-1956 | |
| (870) 559-2314 | |
| (870) 559-2392 |
| Full Name | Marion Minor Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 136 Block St, Marion, Arkansas |
| Authorized Official Name and Position | Micheal D Charlton (APRN) |
| Authorized Official Contact | 8705592314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Minor Medical Llc 136 Block St Marion AR 72364-1956 Ph: (870) 559-2314 | Marion Minor Medical Llc 136 Block St Marion AR 72364-1956 Ph: (870) 559-2314 |
| NPI Number | 1962823310 |
|---|---|
| Provider Enumeration Date | 01/01/2014 |
| Last Update Date | 06/03/2015 |
| Medicare PECOS PAC ID | 9931330065 |
|---|---|
| Medicare Enrollment ID | O20140402001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962823310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Micheal D Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669758777 PECOS PAC ID: 3274770318 Enrollment ID: I20130509000612 |
| Provider Name | Kaitlyn L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750976619 PECOS PAC ID: 9234526880 Enrollment ID: I20220428001714 |
| Provider Name | Stephanie M Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952086464 PECOS PAC ID: 3779924956 Enrollment ID: I20240520000516 |
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