person
Concetta Whitley Martin, PA
Medical Physician Assistant in Dardanelle, Arkansas
NPI 1821525916

Concetta Whitley Martin is a Medical Physician Assistant based in Dardanelle, AR and is specialized in Medical. Concetta Whitley Martin practices in Dardanelle, AR and has the professional credentials of PA. The NPI Number for Concetta Whitley Martin is 1821525916 and holds a License No. PT2017-031 (Arkansas).

The current practice location address for Concetta Whitley Martin is 1652 State Highway 22 W, Dardanelle, AR and can be reached out via phone at 479-229-8000 and via fax at 479-477-3925.

Location: 1652 State Highway 22 W, Dardanelle, AR, 72834-2909
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Provider Profile Details
NPI Number
1821525916
Provider Name
Concetta Whitley Martin
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1652 State Highway 22 W, Dardanelle, AR, 72834-2909
Phone Number
479-229-8000
Fax Number
479-477-3925
Provider Enumeration Date
05/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT2017-031 01 AR ARKANSAS STATE MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
1652 State Highway 22 W
City
State
Zip
72834-2909
Phone Number
479-229-8000
Fax Number
479-477-3925
person
Provider Business Mailing Address Details
Address
1652 State Highway 22 W
City
State
Zip
72834-2909
Phone Number
479-229-8000
Fax Number
479-477-3925
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PT2017-031 (Arkansas)
Definition
Definition to come...
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