Organization
ADMMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CARR (CLINIC MANAGER)
(501) 663-2363
Entity
Organization
Contact information
Practice address
4523 WOODLAWN DR, LITTLE ROCK, AR 72205
(501) 663-2363
(501) 663-2362
Mailing address
4523 WOODLAWN DR, LITTLE ROCK, AR 72205
(501) 663-2363
(501) 663-2362
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
207Q00000X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06080012300
QUALCHOICE
AR
01
—
2674768
UNITED HEALTHCARE
AR
01
—
7203815
AETNA
AR
01
—
764178
HEALTHLINK
AR
Enumeration date
05/10/2017
Last updated
05/12/2017
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