DR. Edna Jacqueline Prince, M.D.

NPI #1225230402 in Forrest City, Arkansas

Provider Information

NPI Number: 1225230402
Entity Type: Individual
Name: DR. Edna Jacqueline Prince, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1400 DALE BUMPERS ROAD
Address 2: FCC FORREST CITY
City: Forrest City
State: Arkansas
ZIP Code: 72336
Phone: (870) 630-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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