Mary L Corbitt, MD
Individual provider Active NPI Neurology Physician · North Little Rock, AR
NPI 1497713085 · NPPES record last updated Jun 18, 2010
Key facts
- NPI
- 1497713085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- C4633 (AR)
- Practice address
- 2215 Wildwood Avenue
Ste 105
North Little Rock, AR 72120 - Phone
- (501) 833-3833
- Fax
- (501) 833-8191
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4633 | AR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Headache Clinic | Neurology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | C4633 | AR | Yes |
Addresses
Primary practice location
2215 Wildwood Avenue
Ste 105
North Little Rock, AR 72120
Mailing address
2215 Wildwood Avenue
Ste 105
North Little Rock, AR 72120
Phone (501) 833-3833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710650667 | Medicaid | AR |
Other names
- Dr. Mary L Ragsdill
Other providers in North Little Rock, AR
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- Nathaniel John Cooney
- Courtney Cooper
- Ty Brendan Copeland
- Makayla Copus
- Abbie Elizabeth Corder
- Cornerstone Pharmacy JFK LLC
- Cornerstone Pharmacy JFK LLC
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- Cornerstone Pharmacy Lakewood, LLC
All providers in North Little Rock, AR · Neurology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.