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Contact Information

ROGER L HIATT JR, MD
600 N 7TH ST
WEST MEMPHIS, AR72301-3235
 Phone: 870-394-7100
 Fax: 870-394-7111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ROGER L HIATT JR · (Male)

NPI # 1417082710
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2007
Last updated 12/23/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AR License # N-8381
  • AR Medicaid 130272001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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