MISS Alisha Nichol Wyatt, M.D.
NPI #1528257250 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1528257250
- Entity Type
- Individual
- Name
- MISS Alisha Nichol Wyatt, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 18, 2007
- Last Updated
- May 30, 2008
Practice Location
- Address
- 529 N GORMAN ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-2736
- Phone
- (870) 633-9403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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Individual Providers
| Provider Name | |
|---|---|
| DR. Sudesh Banaji, M.D | |
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Organizations
| Provider Name | |
|---|---|
| Sudesh Banaji, Md, Pllc |
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