NPI 1366761066

Carlie Qualls, ECDT

Practitioner Other Technician Batesville, AR

Practice location

Address: 2040 Fitzhugh St, Batesville, AR 72501-7409
Phone: (870) 793-0942
Fax: (870) 793-0965

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Arkansas →

Registry record

NPI: 1366761066
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2010
Record last updated: 20 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.