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Organization
SERENITY HEALTH CENTER FOR WOMEN, PA
Active
Organization
SERENITY HEALTH CENTER FOR WOMEN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTAL WALLER RN (OFFICE ADMINISTRATOR)
(501) 603-9600
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302
(501) 603-9600
Mailing address
500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E0253
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04828
HEALTHSOURCE
—
01
—
16047000000
QUALCHOICE
—
01
—
7420056
UNITED HEALTHCARE
—
Enumeration date
03/15/2007
Last updated
08/22/2020
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