Dr KATIE J CARILLON is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
ARKANSAS CENTRAL PRIMARY CARE PLLC
2037 W MAIN ST
CABOT MEDICAL CARE
CABOT
AR
720237479
Tel: 5018434555
| Npi | 1649538679 |
| Pac Id | 9133384704 |
| Professional Enrollment Id | I20120705000137 |
| Last Name | CARILLON |
| First Name | KATIE |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | ARKANSAS CENTRAL PRIMARY CARE PLLC |
| Group Practice Pac Id | 8729142682 |
| Number Of Group Practice Members | 21 |
| Line 1 Street Address | 2037 W MAIN ST |
| Line 2 Street Address | CABOT MEDICAL CARE |
| Marker Of Address Line 2 Suppression | |
| City | CABOT |
| State | AR |
| Zip Code | 720237479 |
| Phone Number | 5018434555 |
| Hospital Affiliation Ccn 1 | 040036 |
| Hospital Affiliation Lbn 1 | BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK |
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| Professional Accepts Medicare Assignment | Y |
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