Charlotte Willis
MD | Pediatric Emergency Medicine | Female
Charlotte Willis, MD is a Little Rock, Arkansas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Charlotte Willis is
800 Marshall St # 653, Little Rock, Arkansas - 72202-3510. She can be contacted on phone at
501-364-1100.
Charlotte Willis is a sole proprietor of her business.
NPI number (Unique professional ID) for Charlotte Willis is
1619067279 which was assigned by NPPES on 13 Oct, 2006 and it was last updated on 31 Aug, 2010.
Charlotte Willis license number is
R-4486 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Arkansas.
Charlotte Willis has special qualifications to manage emergencies in infants and children.
Complete Profile:
Charlotte Willis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Charlotte Willis |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Charlotte Willis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 Marshall St # 653
Little Rock, AR, 72202-3510
United States |
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| Phone Number : | 501-364-1100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619067279 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Oct, 2006 |
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| Last Updated On : | 31 Aug, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlotte Willis are as mentioned. Primary taxonomy code for Charlotte Willis, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | R-4486 | AR |
Legacy Identifiers:
Other legacy medical identifiers of Charlotte Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 123464001 | MEDICAID | AR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 800 Marshall St # 653
Little Rock, AR, 72202-3510
United States |
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| Phone Number : | 501-364-1100 |
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Business Location:
Patients can refer following map for directions to
Charlotte Willis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.