Provider Demographics
NPI:1831280593
Name:MCGAUGH, JANETTE D (MD)
Entity type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:D
Last Name:MCGAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 CONGO RD STE F900
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2750
Mailing Address - Country:US
Mailing Address - Phone:501-794-6037
Mailing Address - Fax:
Practice Address - Street 1:2101 CONGO RD STE F900
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-2750
Practice Address - Country:US
Practice Address - Phone:501-794-6037
Practice Address - Fax:501-794-6140
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE47882084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR202312001Medicaid