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Carl R Magness

  • Male

Medical Specialty

Professional ID

  • NPI: 1548345606
  • PECOS ID: 4981888559
  • Enrollment ID: I20110405000951
  • Credential(MD, DO, DPM):
  • Medical School: University Of Arkansas College Of Medicine
  • Medical School Graduation Year: 1975

Hospital Service

  • Hospital CCN1: 040022
  • Business Name (LBN)1: Northwest Medical Center-springdale

Medical Practices

  • Organization Name: Dickson Street Clinic
  • Group Practice ID assigned by PECOS: 3173707841
  • Number of Group Practice member: 0

Location

  • Address1: 102 W Dickson
  • Address2:
  • City: Fayetteville
  • State: Arkansas
  • Zip Code: 72701
  • Phone Number: (479)521-1114

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):