Provider Demographics
NPI:1215370861
Name:LITTLEJOHN, NATHAN R (MD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:R
Last Name:LITTLEJOHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:855-963-2100
Mailing Address - Fax:813-533-5411
Practice Address - Street 1:1 MERCY LN STE 200A
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6457
Practice Address - Country:US
Practice Address - Phone:501-525-4555
Practice Address - Fax:501-525-4685
Is Sole Proprietor?:No
Enumeration Date:2013-04-14
Last Update Date:2023-08-07
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Provider Licenses
StateLicense IDTaxonomies
ARE-11220208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology