Gregg Carnell Easter

NPI 1356477160 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1356477160
Gender Male
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6501 W 12TH ST
LITTLE ROCK AR, 72204-1511, US
Phone (501) 666-8686
Business Location
PO BOX 251970
LITTLE ROCK AR, 72225-1970, US
Phone (501) 666-8686
Fax (501) 660-6830
Taxonomy Code 171M00000X
License State
License Number
Remove 1356477160 NPI Number

According to our database, Gregg Carnell Easter NPI is 1356477160, taxonomy code is 171M00000X Gregg Carnell Easter physically located at 6501 W 12th St, Little Rock AR, 72204-1511. NPI Number Gregg Carnell Easter has the Individual type.

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1356477160 NPI number is provided on an as is basis without warranty of any kind. 1356477160 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Carnell Easter are for informational purposes only.