Individual
JOHNNY P ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3053 N COLLEGE AVENUE, FAYETTEVILLE, AR 72703
(479) 463-2000
(479) 442-4518
Mailing address
PO BOX 879, FAYETTEVILLE, AR 72702-0879
(479) 713-7115
(479) 713-7186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C5262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106372001
—
AR
01
—
50052
BCBS
AR
Enumeration date
05/11/2006
Last updated
03/25/2008
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