# DREW PROFESSIONAL SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841548427
- **Authorized official:** MELODIE COLWELL (CFO)
- **Authorized official phone:** (870) 460-3569

## Contact information

- **Practice address:** 778 SCOGIN DR, MONTICELLO, AR 71655-5729
- **Practice address phone:** (870) 367-9700
- **Practice address fax:** (870) 460-0077
- **Mailing address:** 750 H L ROSS DR, MONTICELLO, AR 71655-5705
- **Mailing address phone:** (870) 367-9700
- **Mailing address fax:** (870) 460-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 09/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 167896002 | — | AR |