Carl Robert Magness in Fayetteville - Adult Medicine

Carl Robert Magness - NPI 1548345606

Carl Robert Magness is a Adult Medicine in Fayetteville, Arkansas. Carl Robert Magness practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Carl Robert Magness is 1548345606. The last update date is 2015-05-15.

Carl Robert Magness's current location address is 102 W Dickson St, Fayetteville, Arkansas. You can contact this provider via phone number 4795211114 and fax number 4795212540. The mailing address for Carl Robert Magness is 102 W Dickson St, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carl Robert Magness
Address 102 W Dickson St, Fayetteville, Arkansas
Phone Number 4795211114
Fax Number 4795212540
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1548345606
Provider Enumeration Date 2006-10-26
Last Updated Date 2015-05-15

Provider Mailing Address Detail

Address 102 W Dickson St
City Fayetteville
State Arkansas (AR)
Post Code 727015219
Phone Number 4795211114
Fax Number 4795212540

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Licence No C4954
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
926497965 AR DRIVERS LICENSE
106381001 AR --

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FAQs about Carl Robert Magness

What is the unique 10-digit identification code assigned to Carl Robert Magness by the Centers for Medicare & Medicaid Services?

The Carl Robert Magness has been issued the NPI (National Provider Identifier) 1548345606, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Carl Robert Magness?

The Carl Robert Magness is physically situated at 102 W Dickson St, in the city of Fayetteville, state of AR, with the postal code 727015219.

What is Carl Robert Magness's area of expertise and its corresponding taxonomy classification?

The Carl Robert Magness's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.

On what date did the Carl Robert Magness receive its 1548345606 assignment from the Centers for Medicare & Medicaid Services?

The Carl Robert Magness was assigned its 1548345606 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date were the details pertaining to Carl Robert Magness last refreshed?

The information related to the Carl Robert Magness, including its address, specialty, and other relevant details, was last updated on 2015-05-15.

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