Organization
FOUR SEASONS ALLERGY AND ASTHMA CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RENEE JEFFERS M D (PRESIDENT/OWNER)
(501) 221-1956
Entity
Organization
Contact information
Practice address
11614 HURON LN STE A, LITTLE ROCK, AR 72211-1896
(501) 221-1956
(501) 219-2327
Mailing address
11614 HURON LN STE A, LITTLE ROCK, AR 72211-1896
(501) 221-1956
(501) 219-2327
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
E6518
AR
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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